MEDICARE: DR. NASHEET QURAISHI PHARMD

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	051302864	IL
2	183500000X	Pharmacist	18706-40	WI

General Provider Information

NPI Number	:	1174156723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NASHEET QURAISHI PHARMD

Provider Business Mailing Address
First Line	:	620 W OKLAHOMA AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53215-4718
Country	:	US
Telephone Number	:	414-744-1135
Fax Number	:	414-744-0281

Provider Business Practice Location Address
First Line	:	620 W OKLAHOMA AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53215-4718
Country	:	US
Telephone Number	:	414-744-1135
Fax Number	:

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

Provider Enumeration Date	:	02/21/2020
Last Update Date	:	02/21/2020

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