Provider Demographics
NPI:1245649425
Name:SHAIKH, SAJJAD (RPH)
Entity type:Individual
Prefix:
First Name:SAJJAD
Middle Name:
Last Name:SHAIKH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 PEACH ORCHARD RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-3122
Mailing Address - Country:US
Mailing Address - Phone:781-221-7567
Mailing Address - Fax:
Practice Address - Street 1:525 TURNPIKE ST
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-5815
Practice Address - Country:US
Practice Address - Phone:978-794-8720
Practice Address - Fax:978-794-4775
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-12
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH22887183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist