Provider Demographics
NPI:1346517257
Name:DAWOD, ASHRAF S (RPH)
Entity type:Individual
Prefix:
First Name:ASHRAF
Middle Name:S
Last Name:DAWOD
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 AUTUMN LN
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-7747
Mailing Address - Country:US
Mailing Address - Phone:732-324-4490
Mailing Address - Fax:732-324-4491
Practice Address - Street 1:288 SMITH ST
Practice Address - Street 2:
Practice Address - City:PERTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08861-4042
Practice Address - Country:US
Practice Address - Phone:732-324-4490
Practice Address - Fax:732-324-4491
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-20
Last Update Date:2011-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJRI02399800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist