Healthcare Provider Details

I. General information

NPI: 1073426979
Provider Name (Legal Business Name): MUHAMMAD MALIK
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 E BOOT RD
WEST CHESTER PA
19380-5934
US

IV. Provider business mailing address

1375 E BOOT RD
WEST CHESTER PA
19380-5934
US

V. Phone/Fax

Practice location:
  • Phone: 610-241-1061
  • Fax:
Mailing address:
  • Phone: 610-241-1061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP460709
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: