Provider Demographics
NPI:1093915308
Name:ZEYAEE, HARRIS A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HARRIS
Middle Name:A
Last Name:ZEYAEE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 ALEXANDER BLVD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107-6805
Mailing Address - Country:US
Mailing Address - Phone:505-345-8080
Mailing Address - Fax:505-761-6166
Practice Address - Street 1:4500 ALEXANDER BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-6805
Practice Address - Country:US
Practice Address - Phone:505-345-8080
Practice Address - Fax:505-761-6166
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMNM6398183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist