Provider Demographics
NPI:1962900613
Name:ZARECKI, CHRISTOPHER J (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:J
Last Name:ZARECKI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:CHRISTOPHER
Other - Middle Name:JAMES
Other - Last Name:ZARECKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1517 STEWART RD APT 339
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48162-9277
Mailing Address - Country:US
Mailing Address - Phone:313-573-2922
Mailing Address - Fax:
Practice Address - Street 1:507 S TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48161-1613
Practice Address - Country:US
Practice Address - Phone:734-243-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-29
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302041730183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist