MEDICARE: AHMED M GAFAR

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	03441943	OH

General Provider Information

NPI Number	:	1104551514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AHMED M GAFAR

Provider Business Mailing Address
First Line	:	1640 TORONTO RD APT 16
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62712-3718
Country	:	US
Telephone Number	:	929-234-9711
Fax Number	:

Provider Business Practice Location Address
First Line	:	7967 CINCINNATI DAYTON RD STE P
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-2064
Country	:	US
Telephone Number	:	513-755-1891
Fax Number	:

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

Provider Enumeration Date	:	07/19/2022
Last Update Date	:	07/19/2022

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Directions to “ AHMED M GAFAR ” Practice Location

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