Provider Demographics
NPI:1790316941
Name:MIRZA, SAIMA ANWAR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SAIMA
Middle Name:ANWAR
Last Name:MIRZA
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 1:3678 15 MILE RD
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-5355
Mailing Address - Country:US
Mailing Address - Phone:586-977-3610
Mailing Address - Fax:
Practice Address - Street 1:3678 15 MILE RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-5355
Practice Address - Country:US
Practice Address - Phone:586-977-3610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-27
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5315120797183500000X
MI5302038855183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist