Provider Demographics
NPI:1619277761
Name:ANWAR, SHAHNAZ (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:SHAHNAZ
Middle Name:
Last Name:ANWAR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2851 DEL PASO RD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95835-2304
Mailing Address - Country:US
Mailing Address - Phone:916-285-8844
Mailing Address - Fax:916-285-8855
Practice Address - Street 1:2851 DEL PASO RD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95835-2304
Practice Address - Country:US
Practice Address - Phone:916-285-8844
Practice Address - Fax:916-285-8855
Is Sole Proprietor?:No
Enumeration Date:2010-10-22
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY46899183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist