Provider Demographics
NPI:1659659902
Name:BICHAY, WAFIK (RPH)
Entity Type:Individual
Prefix:
First Name:WAFIK
Middle Name:
Last Name:BICHAY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8049 PRESTON RD STE 600
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-9381
Mailing Address - Country:US
Mailing Address - Phone:469-664-0099
Mailing Address - Fax:469-294-6199
Practice Address - Street 1:8049 PRESTON RD STE 600
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9381
Practice Address - Country:US
Practice Address - Phone:469-664-0099
Practice Address - Fax:469-294-6199
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-03
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA65218183500000X
TX51979183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist