MEDICARE: SYED KUMAIL ZAIDI 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	2017034032	MO

General Provider Information

NPI Number	:	1871209072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYED KUMAIL ZAIDI PHARM. D

Provider Business Mailing Address
First Line	:	5201 CHIPPEWA ST
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63109-2355
Country	:	US
Telephone Number	:	314-328-1100
Fax Number	:	314-328-1101

Provider Business Practice Location Address
First Line	:	5201 CHIPPEWA ST
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63109-2355
Country	:	US
Telephone Number	:	314-328-1100
Fax Number	:	314-328-1101

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

Provider Enumeration Date	:	01/30/2023
Last Update Date	:	01/30/2023

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