Provider Demographics
NPI:1538481916
Name:SHAUKAT, NEELAM (PHARM D)
Entity Type:Individual
Prefix:
First Name:NEELAM
Middle Name:
Last Name:SHAUKAT
Suffix:
Gender:F
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 1:26 DORCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:AIRMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10952-4210
Mailing Address - Country:US
Mailing Address - Phone:845-918-1027
Mailing Address - Fax:
Practice Address - Street 1:26 DORCHESTER DR
Practice Address - Street 2:
Practice Address - City:AIRMONT
Practice Address - State:NY
Practice Address - Zip Code:10952-4210
Practice Address - Country:US
Practice Address - Phone:845-918-1027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-25
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051786183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist