Provider Demographics
NPI:1114526449
Name:ZARRIELLO, BROOKE LEILA (PHARMD)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:LEILA
Last Name:ZARRIELLO
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 1:150 N BURL AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-6825
Mailing Address - Country:US
Mailing Address - Phone:209-276-4578
Mailing Address - Fax:
Practice Address - Street 1:626 S CLOVIS AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-4511
Practice Address - Country:US
Practice Address - Phone:559-251-0163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA83397183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist