Healthcare Provider Details

I. General information

NPI: 1811308729
Provider Name (Legal Business Name): AZADEH H ZAVAREMI PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2014
Last Update Date: 05/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2732 E SILVERWOOD DR
PHOENIX AZ
85048-9299
US

IV. Provider business mailing address

2732 E SILVERWOOD DR
PHOENIX AZ
85048-9299
US

V. Phone/Fax

Practice location:
  • Phone: 480-231-0121
  • Fax:
Mailing address:
  • Phone: 480-231-0121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS020201
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: