Provider Demographics
NPI:1043840317
Name:AHMED, ASHIQ UDDIN (RPH)
Entity Type:Individual
Prefix:
First Name:ASHIQ
Middle Name:UDDIN
Last Name:AHMED
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 1:2607 WELSH RD APT J102
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19114-3330
Mailing Address - Country:US
Mailing Address - Phone:215-906-0820
Mailing Address - Fax:
Practice Address - Street 1:6515 CASTOR AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19149-2792
Practice Address - Country:US
Practice Address - Phone:215-535-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-24
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP452541183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist