Healthcare Provider Details
I. General information
NPI: 1912909821
Provider Name (Legal Business Name): SAHAR Z SWIDAN PHARM.D., BCPS
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 08/10/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5204 JACKSON RD SUITE C
ANN ARBOR MI
48103-1866
US
IV. Provider business mailing address
5204 JACKSON RD SUITE C
ANN ARBOR MI
48103-1866
US
V. Phone/Fax
- Phone: 734-821-8000
- Fax: 734-821-8001
- Phone: 734-821-8000
- Fax: 734-821-8001
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 5302027563 |
| License Number State | MI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1835P1200X |
| Taxonomy | Pharmacotherapy Pharmacist |
| License Number | BCPS298237 |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: