Provider Demographics
NPI:1073123741
Name:LYNCH, ZACHARY RONALD (PHARMD)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:RONALD
Last Name:LYNCH
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 1:812 CLOUGH ST
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50701-3022
Mailing Address - Country:US
Mailing Address - Phone:641-220-2864
Mailing Address - Fax:
Practice Address - Street 1:101 115TH ST
Practice Address - Street 2:
Practice Address - City:ANAMOSA
Practice Address - State:IA
Practice Address - Zip Code:52205-7976
Practice Address - Country:US
Practice Address - Phone:319-462-4311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA23625183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist