Provider Demographics
NPI:1073815635
Name:FAROOQ, BEVERLY K (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BEVERLY
Middle Name:K
Last Name:FAROOQ
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 1:5003 YELLOWSTONE BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77021-4354
Mailing Address - Country:US
Mailing Address - Phone:713-304-2885
Mailing Address - Fax:
Practice Address - Street 1:5003 YELLOWSTONE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-4354
Practice Address - Country:US
Practice Address - Phone:713-304-2885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-02
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX49569183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist