MEDICARE: MS. SAMIRA AHMED 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
1	183500000X	Pharmacist	54342	NY

General Provider Information

NPI Number	:	1114249984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SAMIRA AHMED RPH

Provider Business Mailing Address
First Line	:	259 HOSMER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10465-3134
Country	:	US
Telephone Number	:	917-923-0141
Fax Number	:

Provider Business Practice Location Address
First Line	:	2504 EASTCHESTER RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-5902
Country	:	US
Telephone Number	:	718-881-1578
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2010
Last Update Date	:	02/22/2010

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