Individual ProviderMassouma MohamedrazaPharmacistPharmacy Service ProvidersPractice Address1650 N Cedar Crest Blvd, Allentown, PA 18104-2318(610) 395-3671PECOS EnrollmentBased on the most recent information from CMS, provider Massouma Mohamedraza does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1750720561Provider TypeIndividualFull NameMohamedraza, MassoumaCredentialPHARMDGenderFemaleSole ProprietorNoEnumeration Date6/14/2013Last Updated6/14/2013Contact InformationPractice LocationPractice Address1650 N Cedar Crest Blvd, Allentown, PA 18104-2318Phone(610) 395-3671FaxUnlisted FaxMailing LocationMailing Address2050 Westgate Dr Apt F8, Bethlehem, PA 18017-7441PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRP443131Pennsylvania