Provider Demographics
NPI:1568981256
Name:AHMED, ANEAL ANSAR (PHARMACIST INTERN)
Entity Type:Individual
Prefix:MR
First Name:ANEAL
Middle Name:ANSAR
Last Name:AHMED
Suffix:
Gender:M
Credentials:PHARMACIST INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 CENTER DRIVE
Mailing Address - Street 2:UF COLLEGE OF PHARMACY
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32611
Mailing Address - Country:US
Mailing Address - Phone:352-273-6309
Mailing Address - Fax:352-273-6121
Practice Address - Street 1:6550 SANGER ROAD
Practice Address - Street 2:UNIVERSITY OF FLORIDA
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827
Practice Address - Country:US
Practice Address - Phone:407-313-7029
Practice Address - Fax:352-273-6121
Is Sole Proprietor?:No
Enumeration Date:2017-09-13
Last Update Date:2017-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPSI36439183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist