Provider Demographics
NPI:1205829256
Name:ZINGONE, MICHELLE MARLENE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:MARLENE
Last Name:ZINGONE
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 1:1924 ALCOA HWY
Mailing Address - Street 2:BOX 117
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-1511
Mailing Address - Country:US
Mailing Address - Phone:865-974-2100
Mailing Address - Fax:865-974-2022
Practice Address - Street 1:1924 ALCOA HWY
Practice Address - Street 2:BOX 117
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1511
Practice Address - Country:US
Practice Address - Phone:865-974-2100
Practice Address - Fax:865-974-2022
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN295961835P1200X
FLPS40099183500000X
PARP439895183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No183500000XPharmacy Service ProvidersPharmacist