Provider Demographics
NPI:1912734112
Name:MCMURDIE, ZACKARY CHASE (PHARMACIST (RPHD))
Entity type:Individual
Prefix:
First Name:ZACKARY
Middle Name:CHASE
Last Name:MCMURDIE
Suffix:
Gender:M
Credentials:PHARMACIST (RPHD)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 AMBER AVE
Mailing Address - Street 2:
Mailing Address - City:TREMONTON
Mailing Address - State:UT
Mailing Address - Zip Code:84337-2313
Mailing Address - Country:US
Mailing Address - Phone:435-757-3522
Mailing Address - Fax:
Practice Address - Street 1:121 AMBER AVE
Practice Address - Street 2:
Practice Address - City:TREMONTON
Practice Address - State:UT
Practice Address - Zip Code:84337-2313
Practice Address - Country:US
Practice Address - Phone:435-757-3522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8788128-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist