Provider Demographics
NPI:1497570394
Name:ALFORD, AHMED SEAN JR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AHMED
Middle Name:SEAN
Last Name:ALFORD
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1282 MARYLAND DR
Mailing Address - Street 2:
Mailing Address - City:LADSON
Mailing Address - State:SC
Mailing Address - Zip Code:29456-4884
Mailing Address - Country:US
Mailing Address - Phone:843-704-7044
Mailing Address - Fax:
Practice Address - Street 1:17 ASHLEY AVE
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29401-1804
Practice Address - Country:US
Practice Address - Phone:843-704-7044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-18
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK232032183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist