Provider Demographics
NPI:1588961536
Name:AOUN, GHADA C
Entity type:Individual
Prefix:MRS
First Name:GHADA
Middle Name:C
Last Name:AOUN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4101 IVERSON ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-4829
Mailing Address - Country:US
Mailing Address - Phone:919-212-0143
Mailing Address - Fax:919-212-0755
Practice Address - Street 1:510 WOODBURN RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27605-1326
Practice Address - Country:US
Practice Address - Phone:919-833-5523
Practice Address - Fax:919-833-6826
Is Sole Proprietor?:No
Enumeration Date:2011-02-25
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12419183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist