Provider Demographics
NPI:1669119913
Name:ZELLER, ZAREEN KHERA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ZAREEN
Middle Name:KHERA
Last Name:ZELLER
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 1:11230 W MINNEZONA AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037-5127
Mailing Address - Country:US
Mailing Address - Phone:623-698-5626
Mailing Address - Fax:
Practice Address - Street 1:3440 W GLENDALE AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85051-8323
Practice Address - Country:US
Practice Address - Phone:602-336-4590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-18
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD15975183500000X
AZS025818183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist