Healthcare Provider Details
I. General information
NPI: 1205119088
Provider Name (Legal Business Name): SANA ARSHAD VIQAR PHARM D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/27/2011
Last Update Date: 09/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4010 SW 137TH AVE
MIAMI FL
33175-6464
US
IV. Provider business mailing address
17803 SW 47TH ST
MIRAMAR FL
33029-5053
US
V. Phone/Fax
- Phone: 305-554-4549
- Fax: 305-554-7440
- Phone: 786-285-1529
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | PS44347 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: