Provider Demographics
NPI:1770107021
Name:NAZIR, RAHAT (PHARMD)
Entity type:Individual
Prefix:MS
First Name:RAHAT
Middle Name:
Last Name:NAZIR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3845 HILLANDALE RD UPPR UNIT
Mailing Address - Street 2:
Mailing Address - City:OTTAWA HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:43606-7787
Mailing Address - Country:US
Mailing Address - Phone:443-683-9630
Mailing Address - Fax:
Practice Address - Street 1:2430 GLENDALE AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-2736
Practice Address - Country:US
Practice Address - Phone:419-381-6981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-02
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202216474183500000X
OH03337901183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist