Healthcare Provider Details

I. General information

NPI: 1447574736
Provider Name (Legal Business Name): MOHAMMED ZULFIKAR SOMJI PHARM D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2010
Last Update Date: 03/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 BLONDELL AVE
BRONX NY
10461-2601
US

IV. Provider business mailing address

31 BOOK LN
LEVITTOWN NY
11756-3507
US

V. Phone/Fax

Practice location:
  • Phone: 718-239-9828
  • Fax: 718-239-3523
Mailing address:
  • Phone: 516-652-5989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number053276
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: