Provider Demographics
NPI:1154471001
Name:KHALID, MUHAMMAD (RPH)
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:
Last Name:KHALID
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 1:5921 TOWN BAY DR
Mailing Address - Street 2:APT 721
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-8761
Mailing Address - Country:US
Mailing Address - Phone:561-271-9888
Mailing Address - Fax:
Practice Address - Street 1:1055 W HALLANDALE BEACH BLVD
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-5252
Practice Address - Country:US
Practice Address - Phone:954-457-8637
Practice Address - Fax:954-457-9352
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS38516183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist