Provider Demographics
NPI:1598356412
Name:YOUSUF, ANWAR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANWAR
Middle Name:
Last Name:YOUSUF
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5845 YORK RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-3613
Mailing Address - Country:US
Mailing Address - Phone:410-323-1515
Mailing Address - Fax:
Practice Address - Street 1:5845 YORK RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-3613
Practice Address - Country:US
Practice Address - Phone:410-323-1515
Practice Address - Fax:410-323-1784
Is Sole Proprietor?:No
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14330183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist