Provider Demographics
NPI:1447938394
Name:TORKY, TAWFIK AHMED OSAMA
Entity type:Individual
Prefix:
First Name:TAWFIK
Middle Name:AHMED OSAMA
Last Name:TORKY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9702 KINGSBRIDGE DR APT 3
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-1675
Mailing Address - Country:US
Mailing Address - Phone:703-687-8072
Mailing Address - Fax:
Practice Address - Street 1:4199 WINCHESTER RD
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:VA
Practice Address - Zip Code:20115-3269
Practice Address - Country:US
Practice Address - Phone:540-364-8292
Practice Address - Fax:540-364-8293
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202221278183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist