Provider Demographics
NPI:1275314635
Name:GHABRA, ARWA (PHARM D)
Entity Type:Individual
Prefix:
First Name:ARWA
Middle Name:
Last Name:GHABRA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6886 TASKER FLS
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-6369
Mailing Address - Country:US
Mailing Address - Phone:571-835-8095
Mailing Address - Fax:
Practice Address - Street 1:601 CHINQUAPIN ROUND RD
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-4009
Practice Address - Country:US
Practice Address - Phone:443-837-0200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25387183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist