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NPI Code Detail

MEDICARE: MR. MOAZZAM AHMED SHAIKH RPH

MEDICARE: MR. MOAZZAM AHMED SHAIKH RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist17619NC

General Provider Information

NPI Number : 1003125105
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MOAZZAM AHMED SHAIKH RPH
Provider Business Mailing Address
First Line : 2010 SEDWICK RD
Second Line :
City : DURHAM
State : NC
Zip : 27713-4452
Country : US
Telephone Number : 919-544-5807
Fax Number : 919-572-6694
Provider Business Practice Location Address
First Line : 2010 SEDWICK RD
Second Line :
City : DURHAM
State : NC
Zip : 27713-4452
Country : US
Telephone Number : 919-544-5807
Fax Number : 919-572-6694
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2010
Last Update Date : 08/05/2011

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