Provider Demographics
NPI:1912307679
Name:AHMED, JOSEPH (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:AHMED
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 1:2800 SUNRISE RD
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-2540
Mailing Address - Country:US
Mailing Address - Phone:315-427-1702
Mailing Address - Fax:
Practice Address - Street 1:400 E FM 2410 RD
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-5712
Practice Address - Country:US
Practice Address - Phone:254-680-3499
Practice Address - Fax:254-680-7539
Is Sole Proprietor?:No
Enumeration Date:2014-09-01
Last Update Date:2014-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32350183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist