| Provider / Organization | NPI | Date Certified |
|---|---|---|
| FAROOQ IMTIAZ | 1841941325 | 2022-01-15 |
Farooq Imtiaz is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1841941325. Registration indicates Farooq Imtiaz is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Farooq Imtiaz |
| Practice Office Address | 200 S TUTTLE RD SPRINGFIELD, OH US |
| Practice Office Telephone | 9373252613 |
| Mailing Address | 4914 PONDLOOP DR DUBLIN, OH 430168383 US |
| Business Telephone | 6146702803 |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 03441281
OH |