Provider Demographics
NPI:1063747798
Name:NASSEHZADEH-TABRIZI, ZAHRA (PHARMD)
Entity type:Individual
Prefix:
First Name:ZAHRA
Middle Name:
Last Name:NASSEHZADEH-TABRIZI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11201 DURANT ROAD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614
Mailing Address - Country:US
Mailing Address - Phone:919-518-0514
Mailing Address - Fax:919-518-0981
Practice Address - Street 1:11201 DURANT RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-7283
Practice Address - Country:US
Practice Address - Phone:919-518-0514
Practice Address - Fax:919-518-0981
Is Sole Proprietor?:No
Enumeration Date:2009-10-14
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17269183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist