Provider Demographics
NPI:1679831036
Name:GHAWI, VIOLA H (PHARMD)
Entity type:Individual
Prefix:DR
First Name:VIOLA
Middle Name:H
Last Name:GHAWI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 BEVINGTON LN
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-5420
Mailing Address - Country:US
Mailing Address - Phone:678-403-1113
Mailing Address - Fax:
Practice Address - Street 1:954 JOE FRANK HARRIS PKWY SE
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-2131
Practice Address - Country:US
Practice Address - Phone:770-383-3055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-23
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-10704183500000X
GARPH025646183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist