Provider Demographics
NPI:1770560880
Name:MUHAMMAD, JANICE (RPD)
Entity type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:
Last Name:MUHAMMAD
Suffix:
Gender:F
Credentials:RPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4605 PARKHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-1800
Mailing Address - Country:US
Mailing Address - Phone:614-348-1982
Mailing Address - Fax:
Practice Address - Street 1:4605 PARKHAVEN DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-1800
Practice Address - Country:US
Practice Address - Phone:614-348-1982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-29
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03315807183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist