Healthcare Provider Details

I. General information

NPI: 1528789088
Provider Name (Legal Business Name): MOHAMMED INAYATHULLAH SHARIFF PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2022
Last Update Date: 09/02/2022
Certification Date: 09/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7311 E 29TH DR
DENVER CO
80238-2964
US

IV. Provider business mailing address

9029 E MISSISSIPPI AVE APT S103
DENVER CO
80247-6810
US

V. Phone/Fax

Practice location:
  • Phone: 720-214-5332
  • Fax:
Mailing address:
  • Phone: 845-891-6274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHA.0024195
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: