Provider Demographics
NPI:1912909821
Name:SWIDAN, SAHAR Z (PHARMD, BCPS)
Entity Type:Individual
Prefix:DR
First Name:SAHAR
Middle Name:Z
Last Name:SWIDAN
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5204 JACKSON RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-1866
Mailing Address - Country:US
Mailing Address - Phone:734-821-8000
Mailing Address - Fax:734-821-8001
Practice Address - Street 1:5204 JACKSON RD
Practice Address - Street 2:SUITE C
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-1866
Practice Address - Country:US
Practice Address - Phone:734-821-8000
Practice Address - Fax:734-821-8001
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302027563183500000X
MIBCPS2982371835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy