Provider Demographics
NPI:1114903259
Name:QAYUMI, SAJIDA (RPH)
Entity Type:Individual
Prefix:
First Name:SAJIDA
Middle Name:
Last Name:QAYUMI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9829 FARM POND RD
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708
Mailing Address - Country:US
Mailing Address - Phone:443-539-1655
Mailing Address - Fax:301-474-3736
Practice Address - Street 1:121 CENTERWAY
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-1802
Practice Address - Country:US
Practice Address - Phone:301-474-4400
Practice Address - Fax:301-474-3736
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11160183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist