Provider Demographics
NPI:1770747156
Name:ISLAM, FARHANA HUDA (PHARM D)
Entity type:Individual
Prefix:DR
First Name:FARHANA
Middle Name:HUDA
Last Name:ISLAM
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-7308
Mailing Address - Country:US
Mailing Address - Phone:718-384-1544
Mailing Address - Fax:718-599-4632
Practice Address - Street 1:302 BROADWAY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-7308
Practice Address - Country:US
Practice Address - Phone:718-384-1544
Practice Address - Fax:718-599-4632
Is Sole Proprietor?:No
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0524854183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist