Provider Demographics
NPI:1457504565
Name:HAI, ZULEKHA KHANAM (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ZULEKHA
Middle Name:KHANAM
Last Name:HAI
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 1:333 S BROADWAY
Mailing Address - Street 2:ISLANDIA PHARMACY LTD.
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-5062
Mailing Address - Country:US
Mailing Address - Phone:516-939-9800
Mailing Address - Fax:516-939-9801
Practice Address - Street 1:333 S BROADWAY
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-5062
Practice Address - Country:US
Practice Address - Phone:516-939-9800
Practice Address - Fax:516-939-9801
Is Sole Proprietor?:No
Enumeration Date:2008-11-03
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036080183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist