Provider Demographics
NPI:1386210656
Name:OSTARELLO, ZACHARY JOHN (PHARMD)
Entity type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:JOHN
Last Name:OSTARELLO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1273 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-2185
Mailing Address - Country:US
Mailing Address - Phone:831-621-5558
Mailing Address - Fax:831-621-5579
Practice Address - Street 1:1273 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2185
Practice Address - Country:US
Practice Address - Phone:831-621-5558
Practice Address - Fax:831-621-5579
Is Sole Proprietor?:No
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA83625183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist