Provider Demographics
NPI:1528789088
Name:SHARIFF, MOHAMMED INAYATHULLAH (PHARMD)
Entity type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:INAYATHULLAH
Last Name:SHARIFF
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9029 E MISSISSIPPI AVE APT S103
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-6810
Mailing Address - Country:US
Mailing Address - Phone:845-891-6274
Mailing Address - Fax:
Practice Address - Street 1:7311 E 29TH DR
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-2964
Practice Address - Country:US
Practice Address - Phone:720-214-5332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-02
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA.0024195183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist