Doctor Name: | MOHAMMED M HAQUE |
NPI Number: | 1548577117 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPH |
License Number: | 36685 |
Business Practice Address: | 410 Mercedes St Benbrook, TX - 761262519 |
Business Phone Number: | 8172499595 |
Business Fax Number: | 8172499596 |
Mailing Address: | 410 Mercedes St, BENBROOK |
State: | TX |
Postal Code: | 761262519 |
Phone Number: | 8172499595 |
Fax Number: | 8172499596 |
NPI Enumeration Date: | 09/02/2010 |
NPI Last Update Date: | 09/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835G0303X |
License Number: | 36685 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Geriatric |
Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |