Provider Demographics
NPI:1437503265
Name:AKBAR, ZAHAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:ZAHAN
Middle Name:
Last Name:AKBAR
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 1:1239 E PUTNAM AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CT
Mailing Address - Zip Code:06878-1522
Mailing Address - Country:US
Mailing Address - Phone:203-698-4006
Mailing Address - Fax:
Practice Address - Street 1:22 COUNTRY MEADOW DR
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02921-1255
Practice Address - Country:US
Practice Address - Phone:401-575-3170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-18
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0013513183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist