Provider Demographics
NPI:1144679309
Name:AHMED, ASHFAQ (RPH)
Entity type:Individual
Prefix:
First Name:ASHFAQ
Middle Name:
Last Name:AHMED
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 1:2316 ACADEMIC PL SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-4071
Mailing Address - Country:US
Mailing Address - Phone:248-707-9512
Mailing Address - Fax:
Practice Address - Street 1:201 CEDAR ST SE STE 102
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-4923
Practice Address - Country:US
Practice Address - Phone:505-243-6195
Practice Address - Fax:505-243-0785
Is Sole Proprietor?:No
Enumeration Date:2016-06-08
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00010085183500000X
MI5302033746183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist