Provider Demographics
NPI:1972830867
Name:ZAHEDI, VASSILIKIE STAVRON (PHARM D, RPH)
Entity Type:Individual
Prefix:
First Name:VASSILIKIE
Middle Name:STAVRON
Last Name:ZAHEDI
Suffix:
Gender:F
Credentials:PHARM D, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8310 ABRAMS RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-7604
Mailing Address - Country:US
Mailing Address - Phone:214-503-6286
Mailing Address - Fax:
Practice Address - Street 1:8310 ABRAMS RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-7604
Practice Address - Country:US
Practice Address - Phone:214-503-6286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-12
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37508183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist