Provider Demographics
NPI:1548950488
Name:YAKOUB, NOHA AZMY ZAKI
Entity type:Individual
Prefix:MRS
First Name:NOHA
Middle Name:AZMY ZAKI
Last Name:YAKOUB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NOHA
Other - Middle Name:A
Other - Last Name:YAKOUB
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2829 ALA KALANI KAUMAKA ST STE M
Mailing Address - Street 2:
Mailing Address - City:KOLOA
Mailing Address - State:HI
Mailing Address - Zip Code:96756-8571
Mailing Address - Country:US
Mailing Address - Phone:808-742-0350
Mailing Address - Fax:
Practice Address - Street 1:2829 ALA KALANI KAUMAKA ST STE M
Practice Address - Street 2:
Practice Address - City:KOLOA
Practice Address - State:HI
Practice Address - Zip Code:96756-8571
Practice Address - Country:US
Practice Address - Phone:808-742-0350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH-4897183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist