Provider Demographics
NPI:1558648808
Name:KHALIL, SALWA T (RPH)
Entity Type:Individual
Prefix:MS
First Name:SALWA
Middle Name:T
Last Name:KHALIL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3061 COLLEGE PARK DR
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77384-8022
Mailing Address - Country:US
Mailing Address - Phone:936-271-9471
Mailing Address - Fax:936-271-9476
Practice Address - Street 1:3061 COLLEGE PARK DR
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77384-8022
Practice Address - Country:US
Practice Address - Phone:936-271-9471
Practice Address - Fax:936-271-9476
Is Sole Proprietor?:No
Enumeration Date:2011-11-14
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30487183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist