Provider Demographics
NPI:1780078345
Name:MALAS, ZAID (RPH)
Entity type:Individual
Prefix:
First Name:ZAID
Middle Name:
Last Name:MALAS
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 1:1255 DEERPARK DR
Mailing Address - Street 2:APT 156
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92831-2241
Mailing Address - Country:US
Mailing Address - Phone:760-391-2078
Mailing Address - Fax:
Practice Address - Street 1:1255 DEERPARK DR
Practice Address - Street 2:APT 156
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-2241
Practice Address - Country:US
Practice Address - Phone:760-391-2078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-22
Last Update Date:2015-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA70758183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist