Provider Demographics
NPI:1851043996
Name:MAHMUD, QAZI ARSHAD (REGISTERED PHARMACIS)
Entity Type:Individual
Prefix:
First Name:QAZI
Middle Name:ARSHAD
Last Name:MAHMUD
Suffix:
Gender:M
Credentials:REGISTERED PHARMACIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:577 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07208-3354
Mailing Address - Country:US
Mailing Address - Phone:908-352-7111
Mailing Address - Fax:908-352-2873
Practice Address - Street 1:2 CHESTNUT CT
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NJ
Practice Address - Zip Code:08831-4428
Practice Address - Country:US
Practice Address - Phone:732-766-6911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI0228800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist