Provider Demographics
NPI:1124337928
Name:ZEILE, DAVID W (RPH)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:W
Last Name:ZEILE
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 1:129 ESSEX DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MI
Mailing Address - Zip Code:48880-9436
Mailing Address - Country:US
Mailing Address - Phone:989-859-9714
Mailing Address - Fax:
Practice Address - Street 1:129 ESSEX DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MI
Practice Address - Zip Code:48880-9436
Practice Address - Country:US
Practice Address - Phone:989-859-9714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-28
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302022843183500000X
IL051-039064183500000X
IN26091705A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist