Provider Demographics
NPI:1184260119
Name:ALWAHAB, EILAF KADHIM (PHARMD)
Entity type:Individual
Prefix:
First Name:EILAF
Middle Name:KADHIM
Last Name:ALWAHAB
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 1:6120 W BUCKEYE RD STE 2
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85043-4448
Mailing Address - Country:US
Mailing Address - Phone:623-869-6100
Mailing Address - Fax:
Practice Address - Street 1:6120 W BUCKEYE RD STE 2
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85043-4448
Practice Address - Country:US
Practice Address - Phone:623-869-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-25
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS024352183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist