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NPI Code Detail

MEDICARE: ZEINAB A NASSAR PHARMD

MEDICARE: ZEINAB A NASSAR 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
1183500000XPharmacist5302045568MI

General Provider Information

NPI Number : 1710452628
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZEINAB A NASSAR PHARMD
Provider Business Mailing Address
First Line : 7496 COLONIAL ST
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-1744
Country : US
Telephone Number : 313-850-5626
Fax Number :
Provider Business Practice Location Address
First Line : 25700 FORD RD
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-3026
Country : US
Telephone Number : 313-359-9640
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2018
Last Update Date : 10/06/2018

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