Provider Demographics
NPI:1457683336
Name:TOPIWALA, MUHAMMADAZAM M (PHARMD)
Entity Type:Individual
Prefix:
First Name:MUHAMMADAZAM
Middle Name:M
Last Name:TOPIWALA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2465 HEMPSTEAD TPKE
Mailing Address - Street 2:WAL-MART PHARMACY
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-2028
Mailing Address - Country:US
Mailing Address - Phone:516-579-6769
Mailing Address - Fax:516-579-6769
Practice Address - Street 1:2465 HEMPSTEAD TPKE
Practice Address - Street 2:WAL-MART PHARMACY
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-2028
Practice Address - Country:US
Practice Address - Phone:516-579-6769
Practice Address - Fax:516-579-6791
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-03
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053885-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist