Provider Demographics
NPI:1568084317
Name:ABDLGAWAD, NASHWA (RPH)
Entity Type:Individual
Prefix:
First Name:NASHWA
Middle Name:
Last Name:ABDLGAWAD
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 1:46550 SCOTIA CT
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-4665
Mailing Address - Country:US
Mailing Address - Phone:313-725-0051
Mailing Address - Fax:
Practice Address - Street 1:43611 SCHOENHERR RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48313-1114
Practice Address - Country:US
Practice Address - Phone:586-254-8418
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-15
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302045050183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist