Individual
ISHFAQ AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 LAPALCO BLVD, HARVEY, LA 70058-3025
(504) 227-9830
(504) 227-9836
Mailing address
913 CHRISTANA PL, GRETNA, LA 70056-7621
(504) 394-0950
(504) 227-9830
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11552
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1221147
—
LA
Enumeration date
09/16/2011
Last updated
09/16/2011
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