Provider Demographics
NPI:1841893948
Name:ABDULWAHAB, FETIHE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:FETIHE
Middle Name:
Last Name:ABDULWAHAB
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 1:259 S VAN DORN ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-4303
Mailing Address - Country:US
Mailing Address - Phone:703-370-4206
Mailing Address - Fax:703-370-2426
Practice Address - Street 1:259 S VAN DORN ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-4303
Practice Address - Country:US
Practice Address - Phone:703-370-4206
Practice Address - Fax:703-370-2426
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202211489183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist