Provider Demographics
NPI:1851927438
Name:AHMED, SYED S (PHARM-D)
Entity Type:Individual
Prefix:MR
First Name:SYED
Middle Name:S
Last Name:AHMED
Suffix:
Gender:M
Credentials:PHARM-D
Other - Prefix:MR
Other - First Name:SYED
Other - Middle Name:S
Other - Last Name:AHMED
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARM-D
Mailing Address - Street 1:8380 JONQUIL LN N
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55369-3064
Mailing Address - Country:US
Mailing Address - Phone:651-249-5560
Mailing Address - Fax:
Practice Address - Street 1:2017 COON RAPIDS BLVD NW
Practice Address - Street 2:
Practice Address - City:COON RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55433-4121
Practice Address - Country:US
Practice Address - Phone:763-757-5615
Practice Address - Fax:763-862-3988
Is Sole Proprietor?:No
Enumeration Date:2020-03-16
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN118457183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist