Provider Demographics
NPI:1962754309
Name:ABULHAWA, DAOUD H (BSPHARM)
Entity type:Individual
Prefix:MR
First Name:DAOUD
Middle Name:H
Last Name:ABULHAWA
Suffix:
Gender:M
Credentials:BSPHARM
Other - Prefix:MR
Other - First Name:DAVID
Other - Middle Name:H
Other - Last Name:HAWA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BSPHARM
Mailing Address - Street 1:10580 ARROWHEAD DRIVE
Mailing Address - Street 2:FAIRFAX HEALTH CENTER
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030
Mailing Address - Country:US
Mailing Address - Phone:571-432-2680
Mailing Address - Fax:571-432-2795
Practice Address - Street 1:10580 ARROWHEAD DRIVE
Practice Address - Street 2:FAIRFAX HEALTH CENTER
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030
Practice Address - Country:US
Practice Address - Phone:571-432-2680
Practice Address - Fax:571-432-2795
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-09
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02020118811835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy