Provider Demographics
NPI:1073116273
Name:ZALESKI, YVONNE (RPH)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:
Last Name:ZALESKI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13781 CONNECTICUT AVE
Mailing Address - Street 2:
Mailing Address - City:ASPEN HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20906-2916
Mailing Address - Country:US
Mailing Address - Phone:301-603-7501
Mailing Address - Fax:
Practice Address - Street 1:13781 CONNECTICUT AVE
Practice Address - Street 2:
Practice Address - City:ASPEN HILL
Practice Address - State:MD
Practice Address - Zip Code:20906-2916
Practice Address - Country:US
Practice Address - Phone:301-603-7501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS28504183500000X
NY043167183500000X
VA0202207724183500000X
DCPH100000483183500000X
MD22100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist