Provider Demographics
NPI:1114522885
Name:ALAMI, WIDAD
Entity Type:Individual
Prefix:
First Name:WIDAD
Middle Name:
Last Name:ALAMI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13411 BRIAR FOREST DR APT 2017
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-2642
Mailing Address - Country:US
Mailing Address - Phone:832-563-0029
Mailing Address - Fax:
Practice Address - Street 1:12502 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-6000
Practice Address - Country:US
Practice Address - Phone:713-465-6443
Practice Address - Fax:713-465-6470
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39536183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty