MEDICARE: DR. DOAA AHMED RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	066038	NY

General Provider Information

NPI Number	:	1023783438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOAA AHMED RPH

Provider Business Mailing Address
First Line	:	140 DOGWOOD AVE
Second Line	:
City	:	FRANKLIN SQUARE
State	:	NY
Zip	:	11010-3521
Country	:	US
Telephone Number	:	347-840-3785
Fax Number	:

Provider Business Practice Location Address
First Line	:	140 DOGWOOD AVE
Second Line	:
City	:	FRANKLIN SQUARE
State	:	NY
Zip	:	11010-3521
Country	:	US
Telephone Number	:	347-840-3785
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2021
Last Update Date	:	08/09/2021

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