Provider Demographics
NPI:1316545932
Name:PRAJDIC, ZORANA (PHARMD)
Entity Type:Individual
Prefix:
First Name:ZORANA
Middle Name:
Last Name:PRAJDIC
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 1:2544 WEDDINGTON AVE APT 2440
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-1012
Mailing Address - Country:US
Mailing Address - Phone:502-498-6336
Mailing Address - Fax:
Practice Address - Street 1:210 E TRADE ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28202-2404
Practice Address - Country:US
Practice Address - Phone:704-971-1254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-15
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29906183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist