Provider Demographics
NPI:1477884344
Name:ABAWI, MUHANNAD (PHARM D)
Entity Type:Individual
Prefix:
First Name:MUHANNAD
Middle Name:
Last Name:ABAWI
Suffix:
Gender:M
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:PO BOX 1912
Mailing Address - Street 2:
Mailing Address - City:HIGLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85236-1912
Mailing Address - Country:US
Mailing Address - Phone:480-390-1468
Mailing Address - Fax:
Practice Address - Street 1:4766 E QUEEN CREEK RD
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-8005
Practice Address - Country:US
Practice Address - Phone:480-988-1908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-16
Last Update Date:2010-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS014176183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist