Provider Demographics
NPI:1689492449
Name:QAMAR, SOFIAN (PHARM D)
Entity type:Individual
Prefix:
First Name:SOFIAN
Middle Name:
Last Name:QAMAR
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21949 CARTAGENA DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-2857
Mailing Address - Country:US
Mailing Address - Phone:954-471-3223
Mailing Address - Fax:
Practice Address - Street 1:3700 NW 126TH AVE
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-2408
Practice Address - Country:US
Practice Address - Phone:754-529-8353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS67418183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist