Provider Demographics
NPI:1467797886
Name:LAD, ZANKHANA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ZANKHANA
Middle Name:
Last Name:LAD
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1171 ALLEN AVE
Mailing Address - Street 2:APT 106
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91201-3330
Mailing Address - Country:US
Mailing Address - Phone:440-487-1510
Mailing Address - Fax:
Practice Address - Street 1:1171 ALLEN AVE
Practice Address - Street 2:APT 106
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91201-3330
Practice Address - Country:US
Practice Address - Phone:440-487-1510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-11
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA67181183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist