Provider Demographics
NPI:1730651506
Name:ZOWGHI, NIKA (PHARMD)
Entity Type:Individual
Prefix:
First Name:NIKA
Middle Name:
Last Name:ZOWGHI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4975 DISCOVERY PT
Mailing Address - Street 2:
Mailing Address - City:DISCOVERY BAY
Mailing Address - State:CA
Mailing Address - Zip Code:94505-9464
Mailing Address - Country:US
Mailing Address - Phone:650-279-2904
Mailing Address - Fax:
Practice Address - Street 1:2203 LOVERIDGE RD
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-5021
Practice Address - Country:US
Practice Address - Phone:925-427-2151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-18
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA72545183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist