Provider Demographics
NPI:1528794468
Name:COFER, MURAD ISHMAEL (PHARMD)
Entity type:Individual
Prefix:
First Name:MURAD
Middle Name:ISHMAEL
Last Name:COFER
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 1:9823 TAPESTRY PARK CIR UNIT 503
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32246-9239
Mailing Address - Country:US
Mailing Address - Phone:941-962-9155
Mailing Address - Fax:
Practice Address - Street 1:9823 TAPESTRY PARK CIR UNIT 503
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32246-9239
Practice Address - Country:US
Practice Address - Phone:941-962-9155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS643331835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist