Provider Demographics
NPI:1427288331
Name:ZOLD, ADAM GARY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:GARY
Last Name:ZOLD
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 1:6480 ANNIE OAKLEY DR
Mailing Address - Street 2:UNIT 324
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-3954
Mailing Address - Country:US
Mailing Address - Phone:727-946-1170
Mailing Address - Fax:
Practice Address - Street 1:1360 W HORIZON RIDGE PKWY
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-2462
Practice Address - Country:US
Practice Address - Phone:702-568-9459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV17638183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist