Provider Demographics
NPI:1639903503
Name:HAIDER, SYEDA NOOR UL AIN
Entity type:Individual
Prefix:
First Name:SYEDA NOOR UL AIN
Middle Name:
Last Name:HAIDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 W RAY AVE
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-3723
Mailing Address - Country:US
Mailing Address - Phone:336-410-3582
Mailing Address - Fax:
Practice Address - Street 1:1015 RANDOLPH ST
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-5876
Practice Address - Country:US
Practice Address - Phone:336-474-6936
Practice Address - Fax:336-474-6945
Is Sole Proprietor?:No
Enumeration Date:2024-08-31
Last Update Date:2024-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC33386183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist