Provider Demographics
NPI:1063741825
Name:Z PHARMACY
Entity type:Organization
Organization Name:Z PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MARIUSZ
Authorized Official - Middle Name:A
Authorized Official - Last Name:CIECKO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:603-580-5733
Mailing Address - Street 1:239 SUNAPEE ST.
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:NH
Mailing Address - Zip Code:03773
Mailing Address - Country:US
Mailing Address - Phone:603-580-5733
Mailing Address - Fax:
Practice Address - Street 1:239 SUNAPEE ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:NH
Practice Address - Zip Code:03773-1233
Practice Address - Country:US
Practice Address - Phone:603-580-5733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy