MEDICARE: DR. KENYA PATRICE MUHAMMAD 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	40287	TX

General Provider Information

NPI Number	:	1821691163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENYA PATRICE MUHAMMAD PHARMD

Provider Business Mailing Address
First Line	:	1025 W TRINITY MILLS RD STE 120
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75006-1384
Country	:	US
Telephone Number	:	800-508-0960
Fax Number	:

Provider Business Practice Location Address
First Line	:	1025 W TRINITY MILLS RD STE 120
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75006-1384
Country	:	US
Telephone Number	:	800-508-0960
Fax Number	:

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

Provider Enumeration Date	:	11/19/2020
Last Update Date	:	11/19/2020

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