Provider Demographics
NPI:1881489458
Name:ZAINAB, KANEEZ (RPH)
Entity type:Individual
Prefix:
First Name:KANEEZ
Middle Name:
Last Name:ZAINAB
Suffix:
Gender:
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:G4298 BEECHER RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-2710
Mailing Address - Country:US
Mailing Address - Phone:810-908-9699
Mailing Address - Fax:
Practice Address - Street 1:4488 W BRISTOL RD STE 350
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-3110
Practice Address - Country:US
Practice Address - Phone:810-232-2700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302417360183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist