Provider Demographics
NPI:1073594750
Name:ZAHRAEE, FATIMA PARISA (PHARMD, RPH, MBA)
Entity Type:Individual
Prefix:MRS
First Name:FATIMA
Middle Name:PARISA
Last Name:ZAHRAEE
Suffix:
Gender:F
Credentials:PHARMD, RPH, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-4052
Mailing Address - Country:US
Mailing Address - Phone:630-961-8500
Mailing Address - Fax:630-961-6105
Practice Address - Street 1:507 FAIRWAY DR
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-4052
Practice Address - Country:US
Practice Address - Phone:630-961-8500
Practice Address - Fax:630-961-6105
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL51-038694183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL300313720001Medicaid
IL1478076OtherNCPDP#