MEDICARE: MUHAMMAD A SHAFI 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	031979	NY

General Provider Information

NPI Number	:	1982748174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUHAMMAD A SHAFI RPH

Provider Business Mailing Address
First Line	:	178 ALBANY AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11213-2105
Country	:	US
Telephone Number	:	718-756-6061
Fax Number	:	718-404-0705

Provider Business Practice Location Address
First Line	:	178 ALBANY AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11213-2105
Country	:	US
Telephone Number	:	718-756-6061
Fax Number	:	718-404-0705

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

Provider Enumeration Date	:	02/19/2007
Last Update Date	:	07/08/2007

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