Provider Demographics
NPI:1003694951
Name:ALMIZAN, MUHAMMAD (RPH)
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:
Last Name:ALMIZAN
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 1:732 CLOPPER RD APT 14
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-1320
Mailing Address - Country:US
Mailing Address - Phone:301-723-1650
Mailing Address - Fax:
Practice Address - Street 1:9719 TRAVILLE GATEWAY DR
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-7408
Practice Address - Country:US
Practice Address - Phone:301-315-1461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD29452183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist