Provider Demographics
NPI:1972277697
Name:AHSAN, AFIA (PHARMD)
Entity Type:Individual
Prefix:
First Name:AFIA
Middle Name:
Last Name:AHSAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6155 PHELPS LN
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-2124
Mailing Address - Country:US
Mailing Address - Phone:443-790-0300
Mailing Address - Fax:
Practice Address - Street 1:10309 GRAND CENTRAL AVE STE 110
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4182
Practice Address - Country:US
Practice Address - Phone:410-505-9500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-05
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD26960183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist