Provider Demographics
NPI:1063016103
Name:RHODES, ZEBUAL (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ZEBUAL
Middle Name:
Last Name:RHODES
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2014 NORTHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-3225
Mailing Address - Country:US
Mailing Address - Phone:276-759-6800
Mailing Address - Fax:
Practice Address - Street 1:2111 N ROAN ST
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-2516
Practice Address - Country:US
Practice Address - Phone:423-282-6631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN42165183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist