Provider Demographics
NPI:1326493776
Name:JABR, SAWSAN AHMED (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:SAWSAN
Middle Name:AHMED
Last Name:JABR
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 1:168 MONTAGUE ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-3615
Mailing Address - Country:US
Mailing Address - Phone:718-795-6376
Mailing Address - Fax:
Practice Address - Street 1:168 MONTAGUE ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-3615
Practice Address - Country:US
Practice Address - Phone:718-795-6376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-03
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY060618183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist