MEDICARE: DR. ZANIB CHAUDRY PHARM.D.

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	17653	MD

General Provider Information

NPI Number	:	1821413220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZANIB CHAUDRY PHARM.D.

Provider Business Mailing Address
First Line	:	6777 OLD WATERLOO RD
Second Line	:	APT. 618
City	:	ELKRIDGE
State	:	MD
Zip	:	21075-6729
Country	:	US
Telephone Number	:	410-487-0038
Fax Number	:

Provider Business Practice Location Address
First Line	:	6717 RITCHIE HWY
Second Line	:
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-2318
Country	:	US
Telephone Number	:	410-487-0038
Fax Number	:

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

Provider Enumeration Date	:	02/22/2014
Last Update Date	:	02/22/2014

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