Basic Information
Provider Information
NPI: 1568981256
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AHMED
FirstName: ANEAL
MiddleName: ANSAR
NamePrefix: MR.
NameSuffix:  
Credential: PHARMACIST INTERN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1225 CENTER DRIVE
Address2: UF COLLEGE OF PHARMACY
City: GAINESVILLE
State: FL
PostalCode: 32611
CountryCode: US
TelephoneNumber: 3522736309
FaxNumber: 3522736121
Practice Location
Address1: 6550 SANGER ROAD
Address2: UNIVERSITY OF FLORIDA
City: ORLANDO
State: FL
PostalCode: 32827
CountryCode: US
TelephoneNumber: 4073137029
FaxNumber: 3522736121
Other Information
ProviderEnumerationDate: 09/13/2017
LastUpdateDate: 09/13/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000XPSI36439FLY Pharmacy Service ProvidersPharmacist 

No ID Information.


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