Provider Demographics
NPI:1346889979
Name:NADI, ZOHAL BADRIA (RPH)
Entity Type:Individual
Prefix:
First Name:ZOHAL
Middle Name:BADRIA
Last Name:NADI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9308 E LAKE DR
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-4508
Mailing Address - Country:US
Mailing Address - Phone:916-317-9927
Mailing Address - Fax:
Practice Address - Street 1:9308 E LAKE DR
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-4508
Practice Address - Country:US
Practice Address - Phone:916-317-9927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-30
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA81744183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist