Basic Information
| Provider Information | |||||||||
| NPI: | 1811129075 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AMMAR | ||||||||
| FirstName: | ZEINAB | ||||||||
| MiddleName: | AHMED | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | RPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 312 SPRING ST APT 411 | ||||||||
| Address2: | |||||||||
| City: | SAINT PAUL | ||||||||
| State: | MN | ||||||||
| PostalCode: | 551024436 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6123450799 | ||||||||
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| Practice Location | |||||||||
| Address1: | 126 MISSOURI AVE | ||||||||
| Address2: | |||||||||
| City: | FORT LEONARD WOOD | ||||||||
| State: | MO | ||||||||
| PostalCode: | 654738952 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5735960515 | ||||||||
| FaxNumber: | 5735965334 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/20/2009 | ||||||||
| LastUpdateDate: | 08/20/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1835P0018X | 117756 | MN | Y | Pharmacy Service Providers | Pharmacist | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
No ID Information.