Healthcare Provider Details

I. General information

NPI: 1245844836
Provider Name (Legal Business Name): SALEHIN QAZI PHARMD.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2020
Last Update Date: 09/01/2020
Certification Date: 09/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 FOXHUNT DR
BEAR DE
19701-2535
US

IV. Provider business mailing address

30 CALVARESE DR
BEAR DE
19701-6008
US

V. Phone/Fax

Practice location:
  • Phone: 302-836-9387
  • Fax:
Mailing address:
  • Phone: 302-354-8942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number27534
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberA1-0015530
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: