Provider Demographics
NPI:1912925082
Name:IQBAL, NASAR (RPH)
Entity Type:Individual
Prefix:MR
First Name:NASAR
Middle Name:
Last Name:IQBAL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9359 OWINGS CHOICE CT
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-6345
Mailing Address - Country:US
Mailing Address - Phone:410-363-8118
Mailing Address - Fax:
Practice Address - Street 1:7836A WISE AVE
Practice Address - Street 2:
Practice Address - City:DUNDALK
Practice Address - State:MD
Practice Address - Zip Code:21222-3338
Practice Address - Country:US
Practice Address - Phone:410-285-8500
Practice Address - Fax:410-285-7500
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15591183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist