Provider Demographics
NPI:1912036856
Name:KHUDEIRA, ZAHRA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ZAHRA
Middle Name:
Last Name:KHUDEIRA
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 1:4440 W 95TH ST
Mailing Address - Street 2:INPATIENT PHARMACY DEPARTMENT
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-2600
Mailing Address - Country:US
Mailing Address - Phone:708-684-1136
Mailing Address - Fax:708-684-4013
Practice Address - Street 1:4440 W 95TH ST
Practice Address - Street 2:INPATIENT PHARMACY DEPARTMENT
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2600
Practice Address - Country:US
Practice Address - Phone:708-684-1136
Practice Address - Fax:708-684-4013
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist