Provider Demographics
NPI:1881399988
Name:ALIU, SHKELQIM (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SHKELQIM
Middle Name:
Last Name:ALIU
Suffix:
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 1:1514 PRIMROSE PL
Mailing Address - Street 2:
Mailing Address - City:HASLET
Mailing Address - State:TX
Mailing Address - Zip Code:76052-1820
Mailing Address - Country:US
Mailing Address - Phone:817-307-8053
Mailing Address - Fax:
Practice Address - Street 1:1419 HIGHWAY 59 N
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:TX
Practice Address - Zip Code:76230-3014
Practice Address - Country:US
Practice Address - Phone:940-872-6117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-30
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72090183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist