Provider Demographics
NPI:1407613334
Name:MOHAMMED, AHMED MOHAMMED ABD (RPH)
Entity Type:Individual
Prefix:
First Name:AHMED
Middle Name:MOHAMMED ABD
Last Name:MOHAMMED
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 1:41 PRINCETON HIGHTSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-1106
Mailing Address - Country:US
Mailing Address - Phone:609-799-4114
Mailing Address - Fax:609-799-3822
Practice Address - Street 1:41 PRINCETON HIGHTSTOWN RD
Practice Address - Street 2:
Practice Address - City:PRINCETON JUNCTION
Practice Address - State:NJ
Practice Address - Zip Code:08550-1106
Practice Address - Country:US
Practice Address - Phone:609-799-4114
Practice Address - Fax:609-799-3822
Is Sole Proprietor?:No
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04359600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist