Provider Demographics
NPI:1457991069
Name:SAQAB, ZARA
Entity Type:Individual
Prefix:
First Name:ZARA
Middle Name:
Last Name:SAQAB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 DEERBROOKE CIR
Mailing Address - Street 2:
Mailing Address - City:SOUTHINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06489-4340
Mailing Address - Country:US
Mailing Address - Phone:860-378-5582
Mailing Address - Fax:
Practice Address - Street 1:940 S QUAKER LN
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06110-1458
Practice Address - Country:US
Practice Address - Phone:860-231-7665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-11
Last Update Date:2020-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0015000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist