Healthcare Provider Details

I. General information

NPI: 1124382494
Provider Name (Legal Business Name): MOHAMMED LAABID PHARM D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2012
Last Update Date: 07/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 N GRAHAM ST
CHARLOTTE NC
28202-1463
US

IV. Provider business mailing address

10017 PATRICK SPRINGS CT
MATTHEWS NC
28105-7515
US

V. Phone/Fax

Practice location:
  • Phone: 704-373-2930
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number22650
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: