Healthcare Provider Details

I. General information

NPI: 1912862103
Provider Name (Legal Business Name): AHMED AMGED ALI ALSAID ZOKAILAH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4607 VETERANS MEMORIAL BLVD
METAIRIE LA
70006-5323
US

IV. Provider business mailing address

4421 BARNETT ST APT B
METAIRIE LA
70006-2077
US

V. Phone/Fax

Practice location:
  • Phone: 504-457-4075
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPST.026053
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: