Provider Demographics
NPI:1285417014
Name:ZAHORAK, HOPE (PHARMD)
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:
Last Name:ZAHORAK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:HOPE
Other - Middle Name:
Other - Last Name:FELLOWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3126 IPSWICH DR
Mailing Address - Street 2:
Mailing Address - City:COCOA
Mailing Address - State:FL
Mailing Address - Zip Code:32926-4431
Mailing Address - Country:US
Mailing Address - Phone:321-258-9614
Mailing Address - Fax:
Practice Address - Street 1:1880 US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-2822
Practice Address - Country:US
Practice Address - Phone:321-615-9859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-15
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS66145183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist