MEDICARE: AKTAR AHMED 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	060855-1	NY

General Provider Information

NPI Number	:	1396320156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AKTAR AHMED PHARMD.

Provider Business Mailing Address
First Line	:	3314 71ST ST
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-1057
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3314 71ST ST
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-1057
Country	:	US
Telephone Number	:	718-930-5838
Fax Number	:

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

Provider Enumeration Date	:	03/13/2021
Last Update Date	:	03/13/2021

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