Provider Demographics
NPI:1194496869
Name:ZIELKE, ROBERT ARTHUR (RPH)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:ARTHUR
Last Name:ZIELKE
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 1:51 MAJESTIC CT
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-1669
Mailing Address - Country:US
Mailing Address - Phone:330-518-8275
Mailing Address - Fax:
Practice Address - Street 1:4300 KENT RD
Practice Address - Street 2:
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-4331
Practice Address - Country:US
Practice Address - Phone:330-686-9121
Practice Address - Fax:330-686-9417
Is Sole Proprietor?:No
Enumeration Date:2021-09-23
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03124408183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist