Provider Demographics
NPI:1073353363
Name:NASRAZADANI, ZAHRA (PHARMD)
Entity type:Individual
Prefix:
First Name:ZAHRA
Middle Name:
Last Name:NASRAZADANI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ZAHRA
Other - Middle Name:
Other - Last Name:NASR-AZADANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:400 S SANTA FE AVE
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-4144
Mailing Address - Country:US
Mailing Address - Phone:785-452-7160
Mailing Address - Fax:
Practice Address - Street 1:400 S SANTA FE AVE
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-4144
Practice Address - Country:US
Practice Address - Phone:785-452-7160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-25
Last Update Date:2024-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-151661835E0208X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835E0208XPharmacy Service ProvidersPharmacistEmergency Medicine