MEDICARE: SHARIFAH NURSHAZWANI SYED ZANARUDDIN PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	53622	TX

General Provider Information

NPI Number	:	1477980787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARIFAH NURSHAZWANI SYED ZANARUDDIN PHARMD

Provider Business Mailing Address
First Line	:	1616 W DALLAS ST
Second Line	:	APARTMENT 213
City	:	HOUSTON
State	:	TX
Zip	:	77019-4770
Country	:	US
Telephone Number	:	682-553-7933
Fax Number	:

Provider Business Practice Location Address
First Line	:	2808 GESSNER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77080-2504
Country	:	US
Telephone Number	:	713-460-0535
Fax Number	:	713-460-0559

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2013
Last Update Date	:	10/01/2013

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