Provider Demographics
NPI:1720362528
Name:MUHAMMAD, FURQAN BASHIR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:FURQAN
Middle Name:BASHIR
Last Name:MUHAMMAD
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 1:2 UNION PL
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07660-1233
Mailing Address - Country:US
Mailing Address - Phone:201-814-1808
Mailing Address - Fax:
Practice Address - Street 1:2 UNION PL
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07660-1233
Practice Address - Country:US
Practice Address - Phone:201-814-1808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-28
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03188800183500000X
NY056267183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist