Provider Demographics
NPI:1407934722
Name:SHEIKH, MOHAMMAD JAMIL (B PHARMACY)
Entity Type:Individual
Prefix:MR
First Name:MOHAMMAD
Middle Name:JAMIL
Last Name:SHEIKH
Suffix:
Gender:M
Credentials:B PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 WESTMINSTER LANE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07305-1423
Mailing Address - Country:US
Mailing Address - Phone:718-284-9189
Mailing Address - Fax:718-856-5029
Practice Address - Street 1:750 FLATBUSH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-1902
Practice Address - Country:US
Practice Address - Phone:718-284-9189
Practice Address - Fax:718-856-5029
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030599183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist