Healthcare Provider Details

I. General information

NPI: 1316993389
Provider Name (Legal Business Name): WASIM AMIR, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12085 SOMERSET AVE # 5
PRINCESS ANNE MD
21853-1314
US

IV. Provider business mailing address

12085 SOMERSET AVE
PRINCESS ANNE MD
21853-1314
US

V. Phone/Fax

Practice location:
  • Phone: 410-651-3980
  • Fax: 410-651-3985
Mailing address:
  • Phone: 410-651-3980
  • Fax: 410-651-3985

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPO 2584
License Number StateMD

VIII. Authorized Official

Name: MR. WASIM AMIR
Title or Position: MANAGER
Credential: RPH
Phone: 410-651-3980