Provider Demographics
NPI:1063038594
Name:ZAYITOVA, SEVARA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SEVARA
Middle Name:
Last Name:ZAYITOVA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:OH
Mailing Address - Zip Code:45005-1898
Mailing Address - Country:US
Mailing Address - Phone:937-743-9609
Mailing Address - Fax:937-743-9679
Practice Address - Street 1:1300 E 2ND ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:OH
Practice Address - Zip Code:45005-1898
Practice Address - Country:US
Practice Address - Phone:937-743-9609
Practice Address - Fax:937-743-9679
Is Sole Proprietor?:No
Enumeration Date:2020-06-20
Last Update Date:2020-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03337219183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist