Provider Demographics
NPI:1164748349
Name:ZAPP, SHARLYN ANN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHARLYN
Middle Name:ANN
Last Name:ZAPP
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MISS
Other - First Name:SHARLYN
Other - Middle Name:ANN
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMACIST
Mailing Address - Street 1:20668 N 16TH PL
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85024-4355
Mailing Address - Country:US
Mailing Address - Phone:623-516-0388
Mailing Address - Fax:
Practice Address - Street 1:3421 W THUNDERBIRD RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85053-5602
Practice Address - Country:US
Practice Address - Phone:602-375-0193
Practice Address - Fax:602-862-0936
Is Sole Proprietor?:No
Enumeration Date:2010-04-14
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ11100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1811938608OtherNPI