Provider Demographics
NPI:1437258571
Name:ADAM, MAQBOOL AHMED (RPH)
Entity Type:Individual
Prefix:MR
First Name:MAQBOOL
Middle Name:AHMED
Last Name:ADAM
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 1:57 SUNSHINE ACRES
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-9539
Mailing Address - Country:US
Mailing Address - Phone:828-631-5547
Mailing Address - Fax:
Practice Address - Street 1:583 ASHEVILLE HWY STE 1
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-5114
Practice Address - Country:US
Practice Address - Phone:828-631-5547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2010-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12081183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist