Provider Demographics
NPI:1871008631
Name:DAWOOD, BATOOL (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:BATOOL
Middle Name:
Last Name:DAWOOD
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:627 129TH LN NE
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55434-3212
Mailing Address - Country:US
Mailing Address - Phone:763-222-3711
Mailing Address - Fax:
Practice Address - Street 1:627 129TH LN NE
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55434-3212
Practice Address - Country:US
Practice Address - Phone:763-222-3711
Practice Address - Fax:763-222-3711
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-02
Last Update Date:2017-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN121474183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist