Provider Demographics
NPI:1104678937
Name:MOHSEN, ZEINAB HANI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ZEINAB
Middle Name:HANI
Last Name:MOHSEN
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 1:108 N MARKET ST
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:IL
Mailing Address - Zip Code:61856-1636
Mailing Address - Country:US
Mailing Address - Phone:217-762-2056
Mailing Address - Fax:
Practice Address - Street 1:108 N MARKET ST
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:IL
Practice Address - Zip Code:61856-1636
Practice Address - Country:US
Practice Address - Phone:217-762-2056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.306207183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist