Provider Demographics
NPI:1215212451
Name:ZAHID, MUSSADAQ (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MUSSADAQ
Middle Name:
Last Name:ZAHID
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 1:699 BROADWAY
Mailing Address - Street 2:WALGREENS PHARMACY
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-4724
Mailing Address - Country:US
Mailing Address - Phone:201-243-1804
Mailing Address - Fax:
Practice Address - Street 1:699 BROADWAY
Practice Address - Street 2:WALGREENS PHARMACY
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-4724
Practice Address - Country:US
Practice Address - Phone:201-243-1804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02768800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist