Provider Demographics
NPI:1124428305
Name:MEKHAIEL, NAGLAA
Entity type:Individual
Prefix:
First Name:NAGLAA
Middle Name:
Last Name:MEKHAIEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 TRINITY PINE LN
Mailing Address - Street 2:APT # 101
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-5078
Mailing Address - Country:US
Mailing Address - Phone:347-325-7640
Mailing Address - Fax:
Practice Address - Street 1:3966 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HOPE MILLS
Practice Address - State:NC
Practice Address - Zip Code:28348-2361
Practice Address - Country:US
Practice Address - Phone:910-429-3010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC24057183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist