Healthcare Provider Details

I. General information

NPI: 1982128732
Provider Name (Legal Business Name): ANWAR HUSSAIN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2017
Last Update Date: 08/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 CHARLES BLVD
GREENVILLE NC
27858-4451
US

IV. Provider business mailing address

1401 CHARLES BLVD
GREENVILLE NC
27858-4451
US

V. Phone/Fax

Practice location:
  • Phone: 252-758-1400
  • Fax: 252-758-4417
Mailing address:
  • Phone: 252-758-1400
  • Fax: 252-758-4417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number27234
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: