Provider Demographics
NPI:1437573326
Name:DARWISH, AHMED SHOKRI MOHAMED (RPH)
Entity Type:Individual
Prefix:
First Name:AHMED
Middle Name:SHOKRI MOHAMED
Last Name:DARWISH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2632 CASCADE PL W
Mailing Address - Street 2:APT#32-A
Mailing Address - City:UNIVERSITY PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:98466-5332
Mailing Address - Country:US
Mailing Address - Phone:207-299-3705
Mailing Address - Fax:
Practice Address - Street 1:4505 S 19TH ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-1183
Practice Address - Country:US
Practice Address - Phone:253-756-9280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-12
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60414890183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist