Provider Demographics
NPI:1477876951
Name:CHOWDHURY, FAHMI (PHARM D)
Entity Type:Individual
Prefix:MR
First Name:FAHMI
Middle Name:
Last Name:CHOWDHURY
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 ESTATE DR
Mailing Address - Street 2:
Mailing Address - City:CLARKS SUMMIT
Mailing Address - State:PA
Mailing Address - Zip Code:18411-8886
Mailing Address - Country:US
Mailing Address - Phone:570-586-7862
Mailing Address - Fax:
Practice Address - Street 1:1276 UPPER FRONT ST
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13901-1011
Practice Address - Country:US
Practice Address - Phone:607-722-0354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051869-1183500000X
PARP442104183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist