Provider Demographics
NPI:1891226320
Name:ZALEHA, WILLIAM III (PHARMD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:ZALEHA
Suffix:III
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 1:734 BRIDGEPORT AVE
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-3169
Mailing Address - Country:US
Mailing Address - Phone:203-877-8127
Mailing Address - Fax:203-877-1880
Practice Address - Street 1:734 BRIDGEPORT AVE
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-3169
Practice Address - Country:US
Practice Address - Phone:203-877-8127
Practice Address - Fax:203-877-1880
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-26
Last Update Date:2017-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT11702183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist