Provider Demographics
NPI:1023275203
Name:MEEZAAN CORPORATION
Entity type:Organization
Organization Name:MEEZAAN CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WASIM
Authorized Official - Middle Name:
Authorized Official - Last Name:AMIR
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:410-651-3980
Mailing Address - Street 1:817 SNOW HILL RD
Mailing Address - Street 2:STE 2
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-1900
Mailing Address - Country:US
Mailing Address - Phone:410-341-7474
Mailing Address - Fax:410-341-7473
Practice Address - Street 1:817 SNOW HILL RD
Practice Address - Street 2:STE 2
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-1900
Practice Address - Country:US
Practice Address - Phone:410-341-7474
Practice Address - Fax:410-341-7473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-16
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDP047493336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD418646000Medicaid
MD418647800OtherMEDICAID DME PROVIDER NUMBER
MDP04749OtherPHARMACY STATE LICENSE
2133976OtherNCPDP PROVIDER IDENTIFICATION NUMBER
MD6360250001Medicare NSC