Provider Demographics
NPI:1386717759
Name:ZENEROVITZ, ANTHONY (RPH)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:
Last Name:ZENEROVITZ
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 1:9 ORCHARD DR
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-2317
Mailing Address - Country:US
Mailing Address - Phone:978-502-3538
Mailing Address - Fax:
Practice Address - Street 1:9 ORCHARD DR
Practice Address - Street 2:
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-2317
Practice Address - Country:US
Practice Address - Phone:978-502-3538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP032178L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist