Provider Demographics
NPI:1538579974
Name:AHSAN, ZAHID M (RPH)
Entity type:Individual
Prefix:
First Name:ZAHID
Middle Name:M
Last Name:AHSAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 NORMANDY VILLAGE PKWY
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32221-6698
Mailing Address - Country:US
Mailing Address - Phone:904-693-0057
Mailing Address - Fax:904-786-8293
Practice Address - Street 1:1501 NORMANDY VILLAGE PKWY
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32221-6698
Practice Address - Country:US
Practice Address - Phone:904-693-0057
Practice Address - Fax:904-786-8293
Is Sole Proprietor?:No
Enumeration Date:2014-05-07
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS32257183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist