MEDICARE: MAJEDUR RAHMAN 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	5315096699	MI

General Provider Information

NPI Number	:	1619528155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAJEDUR RAHMAN PHARMD

Provider Business Mailing Address
First Line	:	2500 S ADAMS RD
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-5518
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 S ADAMS RD
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-5518
Country	:	US
Telephone Number	:	248-853-2174
Fax Number	:

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

Provider Enumeration Date	:	09/26/2019
Last Update Date	:	09/26/2019

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