Provider Demographics
NPI:1033468863
Name:ZILER, MAX (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:MAX
Middle Name:
Last Name:ZILER
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 1:74 JOSHUA M FREEMAN BLVD
Mailing Address - Street 2:
Mailing Address - City:RANSON
Mailing Address - State:WV
Mailing Address - Zip Code:25438
Mailing Address - Country:US
Mailing Address - Phone:304-728-7713
Mailing Address - Fax:304-728-7766
Practice Address - Street 1:74 JOSHUA M FREEMAN BLVD
Practice Address - Street 2:
Practice Address - City:RANSON
Practice Address - State:WV
Practice Address - Zip Code:25438
Practice Address - Country:US
Practice Address - Phone:304-728-7713
Practice Address - Fax:304-728-7766
Is Sole Proprietor?:No
Enumeration Date:2012-09-07
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0007975183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist