Provider Demographics
NPI:1912781519
Name:CHOWDHURY, MAZHARUL HOQUE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MAZHARUL
Middle Name:HOQUE
Last Name:CHOWDHURY
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 1:7255 DALE
Mailing Address - Street 2:
Mailing Address - City:CENTER LINE
Mailing Address - State:MI
Mailing Address - Zip Code:48015-1803
Mailing Address - Country:US
Mailing Address - Phone:586-202-5092
Mailing Address - Fax:
Practice Address - Street 1:25109 RYAN RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48091-1324
Practice Address - Country:US
Practice Address - Phone:586-756-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-23
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302415555183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist