Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHAFFEEULAH BACCHUS, PHARM.D.
Active Sole ProprietorPharmacotherapy Specialist · FREEPORT, NY
Registration Details
- NPI Number
- 1023039070
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 22, 2006 (19.74916488823 yrs)
- Last Updated
- Jul 8, 2007
- License
-
050006 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
267 W MERRICK RDFREEPORT, NY, 115203346Browse NY providers · Browse ZIP 11520
- Phone
- 7189383274
- Primary Specialty
-
Pharmacotherapy Specialist
1835P1200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.