Provider Demographics
NPI:1427059518
Name:NUZUM, DONALD SCOTT (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:SCOTT
Last Name:NUZUM
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 1:7540 SPARKLEBERRY DR
Mailing Address - Street 2:
Mailing Address - City:INDIAN TRAIL
Mailing Address - State:NC
Mailing Address - Zip Code:28079-9456
Mailing Address - Country:US
Mailing Address - Phone:704-207-6305
Mailing Address - Fax:704-233-8332
Practice Address - Street 1:301 E WILSON ST
Practice Address - Street 2:WINGATE SCHOOL OF PHARMACY
Practice Address - City:WINGATE
Practice Address - State:NC
Practice Address - Zip Code:28174-9665
Practice Address - Country:US
Practice Address - Phone:704-233-8352
Practice Address - Fax:704-233-8332
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX409991835P1200X
NC0070-00237183500000X
NC175871835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No183500000XPharmacy Service ProvidersPharmacist