Healthcare Provider Details

I. General information

NPI: 1528498821
Provider Name (Legal Business Name): ZNA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2013
Last Update Date: 11/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

354 MOUNTAIN RD STE E
PASADENA MD
21122-1158
US

IV. Provider business mailing address

11227 INDEPENDENCE WAY
ELLICOTT CITY MD
21042-1505
US

V. Phone/Fax

Practice location:
  • Phone: 410-491-5733
  • Fax:
Mailing address:
  • Phone: 410-491-5733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ASMA R NIAZI
Title or Position: OWNER
Credential: R.PH., MBA.
Phone: 410-491-5733