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General NPI Number Information
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NPI Number | 1831845627
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Entity Type | Individual
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Provider Name | MOSTAFIZUR RAHAMAN
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Gender | Male
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Dates
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Enumeration Date | 03/01/2022
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 1776 1ST ST APT 3B
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City | ALAMOGORDO
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State | NM
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Zip | 88310-5271
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Country | US
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Telephone | 607-205-7089
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Fax |
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Provider Business Mailing Address
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Address Line | 1776 1ST ST APT 3B
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City | ALAMOGORDO
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State | NM
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Zip | 88310-5271
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Country | US
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Telephone | 607-205-7089
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 068889
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 1-123042
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP00010146
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License Number State | NM
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