Provider Demographics
NPI:1659814580
Name:KARIM MOURAD
Entity Type:Organization
Organization Name:KARIM MOURAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:KARIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MOURAD
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:904-535-6136
Mailing Address - Street 1:999 HIAWATHA PL S
Mailing Address - Street 2:APT 204
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-2857
Mailing Address - Country:US
Mailing Address - Phone:904-535-6136
Mailing Address - Fax:
Practice Address - Street 1:999 HIAWATHA PL S APT 204
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-2860
Practice Address - Country:US
Practice Address - Phone:904-535-6136
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-26
Last Update Date:2016-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH 60680045261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center