Provider Demographics
NPI:1235491051
Name:ALKADRI, ZOUBAIDA (RPH)
Entity type:Individual
Prefix:MRS
First Name:ZOUBAIDA
Middle Name:
Last Name:ALKADRI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31053 PINE CONE DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-5904
Mailing Address - Country:US
Mailing Address - Phone:248-912-2477
Mailing Address - Fax:
Practice Address - Street 1:31053 PINE CONE DR
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-5904
Practice Address - Country:US
Practice Address - Phone:248-912-2477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-08
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302033031183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist