Provider Demographics
NPI:1669796900
Name:MAGHFIRAT, SHAFAAH FARID (RPH)
Entity type:Individual
Prefix:MR
First Name:SHAFAAH
Middle Name:FARID
Last Name:MAGHFIRAT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5504 PURDUE AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21239-3330
Mailing Address - Country:US
Mailing Address - Phone:410-665-3785
Mailing Address - Fax:410-661-1438
Practice Address - Street 1:7923 BELAIR RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21236-3705
Practice Address - Country:US
Practice Address - Phone:410-665-3785
Practice Address - Fax:410-661-1438
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD09769183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist