Provider Demographics
NPI:1629284567
Name:SHAWKI, HALA AHMED (RPH)
Entity Type:Individual
Prefix:
First Name:HALA
Middle Name:AHMED
Last Name:SHAWKI
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 1:8408 WILSHIRE PL
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-3286
Mailing Address - Country:US
Mailing Address - Phone:804-672-1061
Mailing Address - Fax:804-264-4671
Practice Address - Street 1:8702 STAPLES MILL RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23228-2721
Practice Address - Country:US
Practice Address - Phone:804-264-9634
Practice Address - Fax:804-264-4671
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA00202205064183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist