Provider Demographics
NPI:1477876266
Name:IQBAL, MUHAMMAD TAHIR (RPH)
Entity Type:Individual
Prefix:MR
First Name:MUHAMMAD
Middle Name:TAHIR
Last Name:IQBAL
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 1:165 POPPY AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010-3812
Mailing Address - Country:US
Mailing Address - Phone:516-481-7156
Mailing Address - Fax:718-699-2858
Practice Address - Street 1:9431 59TH AVE
Practice Address - Street 2:FRANKLIN PHARMACY
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373
Practice Address - Country:US
Practice Address - Phone:718-592-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041813183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist