Provider Demographics
NPI:1497070817
Name:SHEIKH, BUSHRA BANO (PHARACIST)
Entity Type:Individual
Prefix:MRS
First Name:BUSHRA
Middle Name:BANO
Last Name:SHEIKH
Suffix:
Gender:F
Credentials:PHARACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:ELMIRA
Mailing Address - State:NY
Mailing Address - Zip Code:14903-7978
Mailing Address - Country:US
Mailing Address - Phone:607-733-7874
Mailing Address - Fax:607-733-3575
Practice Address - Street 1:49 ESTATES DRIVE
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:NY
Practice Address - Zip Code:14903-7978
Practice Address - Country:US
Practice Address - Phone:607-733-7874
Practice Address - Fax:607-733-3575
Is Sole Proprietor?:No
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043289-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist