Provider Demographics
NPI:1508147570
Name:ANWAR, ABRAR S (PHARM D)
Entity Type:Individual
Prefix:
First Name:ABRAR
Middle Name:S
Last Name:ANWAR
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 1:4730 BUTTERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:HILLSIDE
Mailing Address - State:IL
Mailing Address - Zip Code:60162-1350
Mailing Address - Country:US
Mailing Address - Phone:708-547-6316
Mailing Address - Fax:708-547-0019
Practice Address - Street 1:4730 BUTTERFIELD RD
Practice Address - Street 2:
Practice Address - City:HILLSIDE
Practice Address - State:IL
Practice Address - Zip Code:60162-1350
Practice Address - Country:US
Practice Address - Phone:708-547-6316
Practice Address - Fax:708-547-0019
Is Sole Proprietor?:No
Enumeration Date:2011-09-06
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051293367183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist