Provider Demographics
NPI:1154779494
Name:ZARLING, TRACY
Entity type:Individual
Prefix:MR
First Name:TRACY
Middle Name:
Last Name:ZARLING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12606 NE 95TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98682-2398
Mailing Address - Country:US
Mailing Address - Phone:360-260-7156
Mailing Address - Fax:360-260-7237
Practice Address - Street 1:12606 NE 95TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98682-2398
Practice Address - Country:US
Practice Address - Phone:360-260-7156
Practice Address - Fax:360-260-7237
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-26
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH000194461835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric