Provider Demographics
NPI:1417468414
Name:ALGHOUL, LUBNA (RPH)
Entity type:Individual
Prefix:
First Name:LUBNA
Middle Name:
Last Name:ALGHOUL
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 1:19239 STONE OAK PKWY STE 103
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3471
Mailing Address - Country:US
Mailing Address - Phone:210-314-6464
Mailing Address - Fax:
Practice Address - Street 1:19239 STONE OAK PKWY STE 103
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3471
Practice Address - Country:US
Practice Address - Phone:210-314-6464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-17
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51125183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
082180OtherDOB
TX21125OtherTEXAS BOARD OF PHARMACY