Provider Demographics
NPI:1477843795
Name:QADIR, FIRDOUS (RPH)
Entity Type:Individual
Prefix:
First Name:FIRDOUS
Middle Name:
Last Name:QADIR
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 1:180 ELM ST
Mailing Address - Street 2:SUIT J
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-6500
Mailing Address - Country:US
Mailing Address - Phone:413-499-1640
Mailing Address - Fax:
Practice Address - Street 1:180 ELM ST
Practice Address - Street 2:SUIT J
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-6500
Practice Address - Country:US
Practice Address - Phone:413-499-1640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-08
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH232468183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist