# MIRIT A FAHIM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1912426792
- **Gender:** F
- **Credential:** PHARMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 055204-1 | NY | Yes |

## Other

- **Enumeration date:** 09/13/2017
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 055204-1 | PHARMACIST LICENSE | NY |
| 01 | — | 28RI03247400 | PHARMACIST LICENSE | NJ |
