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NPI Code Detail

MEDICARE: HASIBA MOHAMMAD

MEDICARE: HASIBA MOHAMMAD
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
1183500000XPharmacistRP448231PA

General Provider Information

NPI Number : 1902215361
Entity Type Code : Individual
Provider Name (Legal Business Name) : HASIBA MOHAMMAD
Provider Business Mailing Address
First Line : 6515 CASTOR AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19149-2708
Country : US
Telephone Number : 215-535-2800
Fax Number :
Provider Business Practice Location Address
First Line : 6515 CASTOR AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19149-2708
Country : US
Telephone Number : 215-535-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2014
Last Update Date : 10/07/2016

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Directions to “ HASIBA MOHAMMAD ” Practice Location

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