Provider Demographics
NPI:1902562986
Name:LEPPERT, ZACHARY (RPH)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:
Last Name:LEPPERT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4330 FOXGLOVE CT
Mailing Address - Street 2:
Mailing Address - City:BELCAMP
Mailing Address - State:MD
Mailing Address - Zip Code:21017-1641
Mailing Address - Country:US
Mailing Address - Phone:443-752-5043
Mailing Address - Fax:
Practice Address - Street 1:8858 WALTHAM WOODS RD
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-2402
Practice Address - Country:US
Practice Address - Phone:410-882-8822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-13
Last Update Date:2021-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD28108183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist