Healthcare Provider Details

I. General information

NPI: 1598036014
Provider Name (Legal Business Name): ZAHRA SOMJI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2012
Last Update Date: 01/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4024 W LAKE MARY BLVD
LAKE MARY FL
32746-3349
US

IV. Provider business mailing address

833 NORMAN CT
LONGWOOD FL
32750-3791
US

V. Phone/Fax

Practice location:
  • Phone: 407-549-3115
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberFL43280
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: