Provider Demographics
NPI:1073865101
Name:MUNIR, SHAHID
Entity Type:Individual
Prefix:MR
First Name:SHAHID
Middle Name:
Last Name:MUNIR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 MEADOW POINT RD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-7422
Mailing Address - Country:US
Mailing Address - Phone:410-341-7474
Mailing Address - Fax:410-341-7473
Practice Address - Street 1:817 SNOW HILL RD UNIT 2
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-1900
Practice Address - Country:US
Practice Address - Phone:410-341-7474
Practice Address - Fax:410-341-7473
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-13
Last Update Date:2012-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD142671835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy