Provider Demographics
NPI:1609159920
Name:MOHSIN, FATIMA (PHARMD/MBA)
Entity Type:Individual
Prefix:
First Name:FATIMA
Middle Name:
Last Name:MOHSIN
Suffix:
Gender:F
Credentials:PHARMD/MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10361 DENSMORE AVE
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-7114
Mailing Address - Country:US
Mailing Address - Phone:818-219-9759
Mailing Address - Fax:
Practice Address - Street 1:10361 DENSMORE AVE
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-7114
Practice Address - Country:US
Practice Address - Phone:818-219-9759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-22
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56978183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist