Provider Demographics
NPI:1992389076
Name:GABRIEL, THABET SHAWKY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:THABET
Middle Name:SHAWKY
Last Name:GABRIEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 BORATEN CIR
Mailing Address - Street 2:
Mailing Address - City:ROYERSFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19468-1000
Mailing Address - Country:US
Mailing Address - Phone:570-574-1796
Mailing Address - Fax:
Practice Address - Street 1:339 E LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-1920
Practice Address - Country:US
Practice Address - Phone:610-649-1391
Practice Address - Fax:610-518-3623
Is Sole Proprietor?:No
Enumeration Date:2021-05-06
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP439693183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist