Provider Demographics
NPI:1427348283
Name:ZIEROWICZ, JOHN LEO
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:LEO
Last Name:ZIEROWICZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:194 N MEMORIAL HWY
Mailing Address - Street 2:
Mailing Address - City:SHAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18708-1127
Mailing Address - Country:US
Mailing Address - Phone:570-675-2383
Mailing Address - Fax:570-675-0433
Practice Address - Street 1:194 N MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:SHAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18708-1127
Practice Address - Country:US
Practice Address - Phone:570-675-2383
Practice Address - Fax:570-675-0433
Is Sole Proprietor?:No
Enumeration Date:2011-04-13
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP029236L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist