Provider Demographics
NPI:1306461793
Name:SHAWKAT, TASNIA (PHARM D)
Entity type:Individual
Prefix:DR
First Name:TASNIA
Middle Name:
Last Name:SHAWKAT
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3405 NAPOLEAN CT
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-7048
Mailing Address - Country:US
Mailing Address - Phone:214-886-2200
Mailing Address - Fax:
Practice Address - Street 1:8516 PARKER RD
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-7744
Practice Address - Country:US
Practice Address - Phone:972-429-9847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-11
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65694183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist