Provider Demographics
NPI:1831478197
Name:HABIB-FEISAL, AZIMA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:AZIMA
Middle Name:
Last Name:HABIB-FEISAL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 HIDDEN QUAIL CT
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-0883
Mailing Address - Country:US
Mailing Address - Phone:919-386-2284
Mailing Address - Fax:
Practice Address - Street 1:270 GRANDE HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-3925
Practice Address - Country:US
Practice Address - Phone:919-380-1607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21458183500000X
CA48713183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist