Provider Demographics
NPI:1386963551
Name:ZEN, WILLIAM (PHARMD)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:
Last Name:ZEN
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 1:933 W ARROW HWY
Mailing Address - Street 2:
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-2420
Mailing Address - Country:US
Mailing Address - Phone:714-328-3893
Mailing Address - Fax:714-876-0744
Practice Address - Street 1:933 W ARROW HWY
Practice Address - Street 2:
Practice Address - City:SAN DIMAS
Practice Address - State:CA
Practice Address - Zip Code:91773-2420
Practice Address - Country:US
Practice Address - Phone:714-328-3893
Practice Address - Fax:714-876-0744
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-26
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50253183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist