Provider Demographics
NPI:1700312543
Name:ZARA, NADIR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NADIR
Middle Name:
Last Name:ZARA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 SOUTH BYWOOD
Mailing Address - Street 2:
Mailing Address - City:CLAWSON
Mailing Address - State:MI
Mailing Address - Zip Code:48014
Mailing Address - Country:US
Mailing Address - Phone:586-839-9914
Mailing Address - Fax:
Practice Address - Street 1:145 S BYWOOD AVE
Practice Address - Street 2:
Practice Address - City:CLAWSON
Practice Address - State:MI
Practice Address - Zip Code:48017-2624
Practice Address - Country:US
Practice Address - Phone:586-839-9914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302041539183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist