Provider Demographics
NPI:1558932756
Name:ZEHRA, FARHEEN
Entity Type:Individual
Prefix:
First Name:FARHEEN
Middle Name:
Last Name:ZEHRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1775 MILMONT DR APT N306
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-3083
Mailing Address - Country:US
Mailing Address - Phone:615-738-1812
Mailing Address - Fax:
Practice Address - Street 1:11440 WINDEMERE PKWY
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94582-5179
Practice Address - Country:US
Practice Address - Phone:925-364-6401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA84316183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist