Provider Demographics
NPI:1871209072
Name:ZAIDI, SYED KUMAIL (PHARM D)
Entity type:Individual
Prefix:
First Name:SYED
Middle Name:KUMAIL
Last Name:ZAIDI
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5201 CHIPPEWA ST
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63109-2355
Mailing Address - Country:US
Mailing Address - Phone:314-328-1100
Mailing Address - Fax:314-328-1101
Practice Address - Street 1:5201 CHIPPEWA ST
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63109-2355
Practice Address - Country:US
Practice Address - Phone:314-328-1100
Practice Address - Fax:314-328-1101
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017034032183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist