Provider Demographics
NPI:1144578527
Name:ARIF, SHAMSUL (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:SHAMSUL
Middle Name:
Last Name:ARIF
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6333 FOREST PARK RD BLA 126
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-8522
Mailing Address - Country:US
Mailing Address - Phone:214-645-6828
Mailing Address - Fax:214-645-6829
Practice Address - Street 1:6333 FOREST PARK RD BLA 126
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-8522
Practice Address - Country:US
Practice Address - Phone:214-645-6828
Practice Address - Fax:214-645-6829
Is Sole Proprietor?:No
Enumeration Date:2012-08-16
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.00122591835P1200X, 183500000X
TX56530183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy