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Individual

MISS SARDAR RAFIQ AHMAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R PH

Contact information

Practice address
12 W MAIN ST, WATERLOO, NY 13165-1329
(315) 539-9323
(315) 539-4146
Mailing address
12 W MAIN ST, WATERLOO, NY 13165-1329
(315) 539-9323
(315) 539-4146

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
020371
NY
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
020371
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01153626
NY
Enumeration date
12/02/2006
Last updated
09/11/2025
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