Provider Demographics
NPI:1306239769
Name:ZALOMEK, DAVID
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:ZALOMEK
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 1:1302 ROCKY POINT DR
Mailing Address - Street 2:PHARMACY
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-5864
Mailing Address - Country:US
Mailing Address - Phone:760-631-9080
Mailing Address - Fax:866-454-2678
Practice Address - Street 1:1302 ROCKY POINT DR
Practice Address - Street 2:PHARMACY
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-5864
Practice Address - Country:US
Practice Address - Phone:760-631-9080
Practice Address - Fax:866-454-2678
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-10
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39492183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist