Provider Demographics
NPI:1326317272
Name:AHMED, FOZIA OMER (RPH)
Entity Type:Individual
Prefix:MISS
First Name:FOZIA
Middle Name:OMER
Last Name:AHMED
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 1:9998 FRONT BEACH RD
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32407-4137
Mailing Address - Country:US
Mailing Address - Phone:850-236-1383
Mailing Address - Fax:850-236-7220
Practice Address - Street 1:9998 FRONT BEACH RD
Practice Address - Street 2:
Practice Address - City:PANAMA CITY BEACH
Practice Address - State:FL
Practice Address - Zip Code:32407-4137
Practice Address - Country:US
Practice Address - Phone:850-236-1383
Practice Address - Fax:850-236-7220
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-21
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS30475183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist