Provider Demographics
NPI:1306380407
Name:MALIK, AROOB (PHARM D)
Entity Type:Individual
Prefix:
First Name:AROOB
Middle Name:
Last Name:MALIK
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 ISLAND PARK BLVD
Mailing Address - Street 2:APT 814
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105-4741
Mailing Address - Country:US
Mailing Address - Phone:623-313-8876
Mailing Address - Fax:
Practice Address - Street 1:1105 ISLAND PARK BLVD
Practice Address - Street 2:APT 814
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-4741
Practice Address - Country:US
Practice Address - Phone:623-313-8876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-07
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.0218411835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care