Provider Demographics
NPI:1942708896
Name:KHOURY, NADIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NADIA
Middle Name:
Last Name:KHOURY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 LEBANON RD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034
Mailing Address - Country:US
Mailing Address - Phone:972-327-5524
Mailing Address - Fax:972-327-5526
Practice Address - Street 1:255 LEBANON RD
Practice Address - Street 2:SUITE 112
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034
Practice Address - Country:US
Practice Address - Phone:972-327-5524
Practice Address - Fax:972-327-5526
Is Sole Proprietor?:No
Enumeration Date:2018-01-25
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03911900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist