Provider Demographics
NPI:1437610532
Name:ZAKI, AMIR AZIZ (RPH)
Entity Type:Individual
Prefix:MR
First Name:AMIR
Middle Name:AZIZ
Last Name:ZAKI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:531 E FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:RIALTO
Mailing Address - State:CA
Mailing Address - Zip Code:92376-5223
Mailing Address - Country:US
Mailing Address - Phone:909-875-2131
Mailing Address - Fax:909-875-2281
Practice Address - Street 1:531 E FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:RIALTO
Practice Address - State:CA
Practice Address - Zip Code:92376-5223
Practice Address - Country:US
Practice Address - Phone:909-875-2131
Practice Address - Fax:909-875-2281
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-29
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH51614183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty