Provider Demographics
NPI:1457886848
Name:QAMAR, JAVERIA
Entity Type:Individual
Prefix:
First Name:JAVERIA
Middle Name:
Last Name:QAMAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19173 RED OAK LN
Mailing Address - Street 2:
Mailing Address - City:BROWNSTOWN
Mailing Address - State:MI
Mailing Address - Zip Code:48193-8804
Mailing Address - Country:US
Mailing Address - Phone:734-818-6653
Mailing Address - Fax:
Practice Address - Street 1:19173 RED OAK LN
Practice Address - Street 2:
Practice Address - City:BROWNSTOWN
Practice Address - State:MI
Practice Address - Zip Code:48193-8804
Practice Address - Country:US
Practice Address - Phone:734-818-6653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-24
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician