Provider Demographics
NPI:1821762105
Name:ZIKAM NEIGHBORHOOD PHARMACY LLC
Entity Type:Organization
Organization Name:ZIKAM NEIGHBORHOOD PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:DR
Authorized Official - First Name:ABDULHAMID
Authorized Official - Middle Name:S
Authorized Official - Last Name:NASSOR
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:210-310-3132
Mailing Address - Street 1:17323 IH 35 N STE 100
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-1278
Mailing Address - Country:US
Mailing Address - Phone:210-310-3132
Mailing Address - Fax:
Practice Address - Street 1:17323 IH 35 N STE 100
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-1278
Practice Address - Country:US
Practice Address - Phone:210-310-3132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-02
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy