MEDICARE: DR. FARHANAZ AHMED PHARM D.

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	PS44065	FL

General Provider Information

NPI Number	:	1700296019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FARHANAZ AHMED PHARM D.

Provider Business Mailing Address
First Line	:	7843 SW 3RD ST
Second Line	:
City	:	NORTH LAUDERDALE
State	:	FL
Zip	:	33068-1216
Country	:	US
Telephone Number	:	954-600-1079
Fax Number	:

Provider Business Practice Location Address
First Line	:	5150 N FEDERAL HWY
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-3814
Country	:	US
Telephone Number	:	954-484-4200
Fax Number	:

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

Provider Enumeration Date	:	05/08/2014
Last Update Date	:	05/08/2014

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