Provider Demographics
NPI:1699914341
Name:RASHED, MOHAMMAD IQBAL (PHARM D, RPH)
Entity type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:IQBAL
Last Name:RASHED
Suffix:
Gender:M
Credentials:PHARM D, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 MARCUS GARVEY BLVD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-5305
Mailing Address - Country:US
Mailing Address - Phone:718-218-9346
Mailing Address - Fax:718-218-9435
Practice Address - Street 1:17 MARCUS GARVEY BLVD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-5305
Practice Address - Country:US
Practice Address - Phone:718-218-9346
Practice Address - Fax:718-218-9435
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049351183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY049351OtherPHARMACIST LIC