Provider Demographics
NPI:1831401330
Name:MIKHAEL, EHAB K (RPH)
Entity type:Individual
Prefix:
First Name:EHAB
Middle Name:K
Last Name:MIKHAEL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:EHAB
Other - Middle Name:KM
Other - Last Name:MOAWAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1601 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29526-2959
Mailing Address - Country:US
Mailing Address - Phone:843-488-2000
Mailing Address - Fax:843-488-2222
Practice Address - Street 1:2701 DICK POND RD
Practice Address - Street 2:
Practice Address - City:SURFSIDE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29575-5510
Practice Address - Country:US
Practice Address - Phone:843-650-6800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-13
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12869183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist