Provider Demographics
NPI:1851123764
Name:ZAMY, ADJANIE E
Entity type:Individual
Prefix:
First Name:ADJANIE
Middle Name:E
Last Name:ZAMY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 SW 5TH CT
Mailing Address - Street 2:
Mailing Address - City:DANIA
Mailing Address - State:FL
Mailing Address - Zip Code:33004-3513
Mailing Address - Country:US
Mailing Address - Phone:978-328-8716
Mailing Address - Fax:
Practice Address - Street 1:12855 NE 6TH AVE
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-4714
Practice Address - Country:US
Practice Address - Phone:305-891-7054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS67518183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist