Provider Demographics
NPI:1154616597
Name:ZYTCER, AIMEE SONYA
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:SONYA
Last Name:ZYTCER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12602 N PARADISE VILLAGE PKWY W
Mailing Address - Street 2:T-0233
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-7671
Mailing Address - Country:US
Mailing Address - Phone:602-953-0253
Mailing Address - Fax:602-953-0253
Practice Address - Street 1:12602 N PARADISE VILLAGE PKWY W
Practice Address - Street 2:T-0233
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-7671
Practice Address - Country:US
Practice Address - Phone:602-953-0253
Practice Address - Fax:602-953-0253
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-14
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS013046183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist