Provider Demographics
NPI:1942267489
Name:FARRAG, NAGWA (RPH)
Entity Type:Individual
Prefix:
First Name:NAGWA
Middle Name:
Last Name:FARRAG
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 1:608 KNOLLCREST PL
Mailing Address - Street 2:APT H
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-3814
Mailing Address - Country:US
Mailing Address - Phone:410-667-0249
Mailing Address - Fax:
Practice Address - Street 1:2400 BROENING HWY
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-6612
Practice Address - Country:US
Practice Address - Phone:410-288-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10860183500000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy