Individual
NICHOLAS NADER TAWASHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4310 OUTER LOOP, LOUISVILLE, KY 40219-3853
(502) 962-2876
(502) 966-5674
Mailing address
4310 OUTER LOOP, LOUISVILLE, KY 40219-3853
(502) 962-2876
(502) 966-5674
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020027
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020027
KENTUCKY BOARD OF PHARMACY
KY
Enumeration date
08/21/2020
Last updated
08/21/2020
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