Provider Demographics
NPI:1982904561
Name:AHMED, AMIR (RPH)
Entity type:Individual
Prefix:
First Name:AMIR
Middle Name:
Last Name:AHMED
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 HUIZAR STREET, REAR-A
Mailing Address - Street 2:CYSTIC FIBROSIS SERVICES
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78214
Mailing Address - Country:US
Mailing Address - Phone:210-977-1817
Mailing Address - Fax:
Practice Address - Street 1:119 HUIZAR STREET
Practice Address - Street 2:CYCTIC FIBROSIS SERVICES
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78214
Practice Address - Country:US
Practice Address - Phone:210-977-1817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29764183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist