Provider Demographics
NPI:1588049894
Name:KAZI, ALEEZA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ALEEZA
Middle Name:
Last Name:KAZI
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 1:23 S EAGLE NEST DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:RI
Mailing Address - Zip Code:02865-3732
Mailing Address - Country:US
Mailing Address - Phone:401-569-7463
Mailing Address - Fax:
Practice Address - Street 1:88 SILVA LN # LANE4
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-7634
Practice Address - Country:US
Practice Address - Phone:401-344-1099
Practice Address - Fax:401-619-5215
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-28
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH05462183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist