Provider Demographics
NPI:1093092728
Name:ZAPICO, ANTHONY (RPH)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:
Last Name:ZAPICO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 GRANDVIEW PKWY
Mailing Address - Street 2:T-2366
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33837-2300
Mailing Address - Country:US
Mailing Address - Phone:863-256-1052
Mailing Address - Fax:863-256-1052
Practice Address - Street 1:5000 GRANDVIEW PKWY
Practice Address - Street 2:T-2366
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33837-2300
Practice Address - Country:US
Practice Address - Phone:863-256-1052
Practice Address - Fax:863-256-1052
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-09
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS39965183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist