Provider Demographics
NPI:1558407007
Name:ZAHR, RIAD H (RPH)
Entity Type:Individual
Prefix:
First Name:RIAD
Middle Name:H
Last Name:ZAHR
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 1:37672 PROFESSIONAL CENTER DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-1154
Mailing Address - Country:US
Mailing Address - Phone:734-432-2015
Mailing Address - Fax:734-432-2016
Practice Address - Street 1:37672 PROFESSIONAL CENTER DR
Practice Address - Street 2:SUITE 130
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-1154
Practice Address - Country:US
Practice Address - Phone:734-432-2015
Practice Address - Fax:734-432-2016
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302029139183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2366068Medicaid
MI5154210001OtherMEDICARE PART B
MI2366068Medicaid
MI5154210001Medicare ID - Type Unspecified