Provider Demographics
NPI:1447854674
Name:MOHAMED, NASHWA (RPH)
Entity type:Individual
Prefix:MRS
First Name:NASHWA
Middle Name:
Last Name:MOHAMED
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:266 MACDONALD AVE
Mailing Address - Street 2:
Mailing Address - City:WYNCOTE
Mailing Address - State:PA
Mailing Address - Zip Code:19095-2402
Mailing Address - Country:US
Mailing Address - Phone:215-479-2229
Mailing Address - Fax:
Practice Address - Street 1:2450 SHOPPERS LN
Practice Address - Street 2:
Practice Address - City:WYNCOTE
Practice Address - State:PA
Practice Address - Zip Code:19095-2960
Practice Address - Country:US
Practice Address - Phone:267-628-3281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-29
Last Update Date:2020-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP449426183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist