Provider Demographics
NPI:1558968016
Name:DAWOUD, MARINA SABER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARINA
Middle Name:SABER
Last Name:DAWOUD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 CALEDON CT
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-3129
Mailing Address - Country:US
Mailing Address - Phone:864-553-3440
Mailing Address - Fax:
Practice Address - Street 1:165 WALTON DR
Practice Address - Street 2:
Practice Address - City:GAFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29341-1268
Practice Address - Country:US
Practice Address - Phone:864-487-3769
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC42373183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist