Provider Demographics
NPI:1285791103
Name:NASIM, MUHAMMAD WAQAR (RPH, MBA)
Entity type:Individual
Prefix:MR
First Name:MUHAMMAD
Middle Name:WAQAR
Last Name:NASIM
Suffix:
Gender:M
Credentials:RPH, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 DELANCEY CT
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-2762
Mailing Address - Country:US
Mailing Address - Phone:585-381-5315
Mailing Address - Fax:
Practice Address - Street 1:44 DELANCEY CT
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-2762
Practice Address - Country:US
Practice Address - Phone:585-381-5315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR5275183500000X
NY0514761835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No183500000XPharmacy Service ProvidersPharmacist