Provider Demographics
NPI:1134431588
Name:HAMMAD, MARIAM ZAHI (PHARM D)
Entity type:Individual
Prefix:MS
First Name:MARIAM
Middle Name:ZAHI
Last Name:HAMMAD
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 HIGHWAY 365
Mailing Address - Street 2:
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77642-7709
Mailing Address - Country:US
Mailing Address - Phone:409-724-1914
Mailing Address - Fax:
Practice Address - Street 1:3700 HIGHWAY 365
Practice Address - Street 2:
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-7709
Practice Address - Country:US
Practice Address - Phone:409-724-1914
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-13
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX46456183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist