MEDICARE: MUHAMMAD KHALID 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	PS38516	FL

General Provider Information

NPI Number	:	1154471001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUHAMMAD KHALID RPH

Provider Business Mailing Address
First Line	:	5921 TOWN BAY DR
Second Line	:	APT 721
City	:	BOCA RATON
State	:	FL
Zip	:	33486-8761
Country	:	US
Telephone Number	:	561-271-9888
Fax Number	:

Provider Business Practice Location Address
First Line	:	1055 W HALLANDALE BEACH BLVD
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-5252
Country	:	US
Telephone Number	:	954-457-8637
Fax Number	:	954-457-9352

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

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	11/03/2016

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