Provider Demographics
NPI:1871033506
Name:ZAKI, EBRAM (PHARMD)
Entity Type:Individual
Prefix:
First Name:EBRAM
Middle Name:
Last Name:ZAKI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1160 S BUSINESS IH 35
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-5715
Mailing Address - Country:US
Mailing Address - Phone:830-620-7979
Mailing Address - Fax:830-629-0039
Practice Address - Street 1:1160 S BUSINESS IH 35
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-5715
Practice Address - Country:US
Practice Address - Phone:830-620-7979
Practice Address - Fax:830-629-0039
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60212183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist