Provider Demographics
NPI:1336631746
Name:BAJWA, ZUHA (PHARMD)
Entity Type:Individual
Prefix:
First Name:ZUHA
Middle Name:
Last Name:BAJWA
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 1:2 WINTER ST APT T11
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03743-5086
Mailing Address - Country:US
Mailing Address - Phone:607-222-8428
Mailing Address - Fax:
Practice Address - Street 1:73 PLEASANT ST STE 1
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:NH
Practice Address - Zip Code:03743-2607
Practice Address - Country:US
Practice Address - Phone:603-543-0153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-31
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHPHCY-04300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist