Provider Demographics
NPI:1518258151
Name:AHMED, TAREK SAID (RPH)
Entity Type:Individual
Prefix:
First Name:TAREK
Middle Name:SAID
Last Name:AHMED
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 1:1200 N BISHOP ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-2706
Mailing Address - Country:US
Mailing Address - Phone:512-212-5373
Mailing Address - Fax:512-212-5374
Practice Address - Street 1:1200 N BISHOP ST STE 200
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-2706
Practice Address - Country:US
Practice Address - Phone:512-212-5373
Practice Address - Fax:512-212-5374
Is Sole Proprietor?:No
Enumeration Date:2011-05-01
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19979183500000X
TX57639183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist