Provider Demographics
NPI:1942557624
Name:AZEEM, TALHA (PHARM D)
Entity Type:Individual
Prefix:
First Name:TALHA
Middle Name:
Last Name:AZEEM
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 SHOREVIEW DR APT 3
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-1954
Mailing Address - Country:US
Mailing Address - Phone:914-659-1807
Mailing Address - Fax:
Practice Address - Street 1:9 SHOREVIEW DR APT 3
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-1954
Practice Address - Country:US
Practice Address - Phone:914-659-1807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-13
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY056857183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist