Provider Demographics
NPI:1457733271
Name:MAREDIA, NAUSHIR NIZAR (RPH)
Entity type:Individual
Prefix:
First Name:NAUSHIR
Middle Name:NIZAR
Last Name:MAREDIA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28550 HIGHWAY 290
Mailing Address - Street 2:PHARMACY
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-4288
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:28550 HIGHWAY 290
Practice Address - Street 2:PHARMACY
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-4288
Practice Address - Country:US
Practice Address - Phone:281-256-6490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-29
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX56564183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist