Provider Demographics
NPI:1427480904
Name:MAYEWSKI, ZARAH ELIZABETH (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:ZARAH
Middle Name:ELIZABETH
Last Name:MAYEWSKI
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3216 N 30TH ST
Mailing Address - Street 2:APT 2
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98407-6202
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3216 N 30TH ST
Practice Address - Street 2:APT 2
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98407-6202
Practice Address - Country:US
Practice Address - Phone:724-986-7356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60379907183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist