MEDICARE: DR. ZAHIR ABDULRIDHA PHARMACIST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	051305638	IL

General Provider Information

NPI Number	:	1912778176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZAHIR ABDULRIDHA PHARMACIST

Provider Business Mailing Address
First Line	:	4120 W 95TH ST
Second Line	:
City	:	OAK LAWN
State	:	IL
Zip	:	60453-2675
Country	:	US
Telephone Number	:	708-741-4070
Fax Number	:

Provider Business Practice Location Address
First Line	:	4120 W 95TH ST
Second Line	:
City	:	OAK LAWN
State	:	IL
Zip	:	60453-2675
Country	:	US
Telephone Number	:	708-741-4070
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2024
Last Update Date	:	01/15/2024

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