Provider Demographics
NPI:1194859272
Name:ZAGAR, TERRY MICHELLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TERRY
Middle Name:MICHELLE
Last Name:ZAGAR
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 1:405 E FRENCHMANS BEND RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-8851
Mailing Address - Country:US
Mailing Address - Phone:318-387-1581
Mailing Address - Fax:318-342-5290
Practice Address - Street 1:2407 FERRAND ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-3248
Practice Address - Country:US
Practice Address - Phone:318-387-0535
Practice Address - Fax:318-322-0545
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA172541835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric