Provider Demographics
NPI:1881979318
Name:AHMED, WAJIHA (PHARM D)
Entity type:Individual
Prefix:MS
First Name:WAJIHA
Middle Name:
Last Name:AHMED
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:WAJIHA
Other - Middle Name:
Other - Last Name:IQBAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PAHRM D
Mailing Address - Street 1:1384 CAMPBELL AVE
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-6526
Mailing Address - Country:US
Mailing Address - Phone:630-235-8102
Mailing Address - Fax:
Practice Address - Street 1:7113 CERMAK RD
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-2103
Practice Address - Country:US
Practice Address - Phone:708-795-9030
Practice Address - Fax:708-795-8032
Is Sole Proprietor?:No
Enumeration Date:2011-10-16
Last Update Date:2011-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.291500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist