Provider Demographics
NPI:1306245865
Name:HANKS, ZACHARY (PHARM D)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:
Last Name:HANKS
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 1:5769 S WATERBURY CIR UNIT D
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-1149
Mailing Address - Country:US
Mailing Address - Phone:801-419-9388
Mailing Address - Fax:
Practice Address - Street 1:2807 N POWER RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85215-1728
Practice Address - Country:US
Practice Address - Phone:480-396-8301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-20
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS020716183500000X
UT7993231-1702183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist