Provider Demographics
NPI:1700163169
Name:HUDA, GULZAR ZAHUR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GULZAR
Middle Name:ZAHUR
Last Name:HUDA
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 1:6960 N RIDGE BLVD
Mailing Address - Street 2:2
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-4446
Mailing Address - Country:US
Mailing Address - Phone:773-218-6117
Mailing Address - Fax:
Practice Address - Street 1:4801 N LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-1915
Practice Address - Country:US
Practice Address - Phone:773-561-2526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-12
Last Update Date:2011-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051288320183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist