Provider Demographics
NPI:1194491688
Name:ZARKIE, ANDREW J (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:J
Last Name:ZARKIE
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 1:6111 KENSINGTON CT
Mailing Address - Street 2:
Mailing Address - City:IMPERIAL
Mailing Address - State:MO
Mailing Address - Zip Code:63052-2392
Mailing Address - Country:US
Mailing Address - Phone:314-401-9360
Mailing Address - Fax:
Practice Address - Street 1:12332 MANCHESTER RD
Practice Address - Street 2:
Practice Address - City:DES PERES
Practice Address - State:MO
Practice Address - Zip Code:63131-4315
Practice Address - Country:US
Practice Address - Phone:314-965-0062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021032982183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist