Provider Demographics
NPI:1588355564
Name:ZEILMANN, DOMINIK (PHARMD)
Entity type:Individual
Prefix:
First Name:DOMINIK
Middle Name:
Last Name:ZEILMANN
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 1:18611 ROGERS LK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4614
Mailing Address - Country:US
Mailing Address - Phone:915-781-5075
Mailing Address - Fax:
Practice Address - Street 1:18611 ROGERS LK
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4614
Practice Address - Country:US
Practice Address - Phone:915-781-5075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70830183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist