Provider Demographics
NPI:1003362500
Name:KHALID, WAJIHA (PHARMD)
Entity Type:Individual
Prefix:
First Name:WAJIHA
Middle Name:
Last Name:KHALID
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1163 66TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-6610
Mailing Address - Country:US
Mailing Address - Phone:646-339-9021
Mailing Address - Fax:
Practice Address - Street 1:7814 LINDEN BLVD
Practice Address - Street 2:
Practice Address - City:HOWARD BEACH
Practice Address - State:NY
Practice Address - Zip Code:11414-1022
Practice Address - Country:US
Practice Address - Phone:718-296-2581
Practice Address - Fax:845-255-5349
Is Sole Proprietor?:No
Enumeration Date:2016-08-25
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY062198183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist