Provider Demographics
NPI:1144815705
Name:AHMED, ABDUL-RASHID (PHARMACY TECHNICIAN)
Entity type:Individual
Prefix:MR
First Name:ABDUL-RASHID
Middle Name:
Last Name:AHMED
Suffix:
Gender:M
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:613 LAKE FRONT PL APT 202
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-2716
Mailing Address - Country:US
Mailing Address - Phone:757-749-9223
Mailing Address - Fax:
Practice Address - Street 1:657 PHOENIX DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-7318
Practice Address - Country:US
Practice Address - Phone:757-498-3720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-05
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0230033154183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician