Provider Demographics
NPI:1689403594
Name:NAVEED, SHAFIULLAH (PHARMD)
Entity type:Individual
Prefix:
First Name:SHAFIULLAH
Middle Name:
Last Name:NAVEED
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 1:527 MCBRIDE AVE
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-2821
Mailing Address - Country:US
Mailing Address - Phone:201-310-1719
Mailing Address - Fax:
Practice Address - Street 1:15 BOONTON TPKE
Practice Address - Street 2:
Practice Address - City:LINCOLN PARK
Practice Address - State:NJ
Practice Address - Zip Code:07035-1761
Practice Address - Country:US
Practice Address - Phone:973-628-2002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04343600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist