Provider Demographics
NPI:1487978193
Name:TAQI, MUHAMMAD (RPH)
Entity type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:
Last Name:TAQI
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 1:169-18 HILLSIDE AVENUE
Mailing Address - Street 2:AL-MAMOOR PHARMACY INC.
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-4435
Mailing Address - Country:US
Mailing Address - Phone:718-374-3406
Mailing Address - Fax:718-374-3421
Practice Address - Street 1:16918 HILLSIDE AVE
Practice Address - Street 2:AL-MAMOOR PHARMACY INC.
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-4435
Practice Address - Country:US
Practice Address - Phone:718-374-3406
Practice Address - Fax:718-374-3421
Is Sole Proprietor?:No
Enumeration Date:2010-03-24
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033094183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist