Provider Demographics
NPI:1235685868
Name:SAVAGE, VINCENT ZERIK (PHARMD)
Entity Type:Individual
Prefix:
First Name:VINCENT
Middle Name:ZERIK
Last Name:SAVAGE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13502 MIRACLE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77085
Mailing Address - Country:US
Mailing Address - Phone:713-628-4616
Mailing Address - Fax:
Practice Address - Street 1:4703 W COMMERCE ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78237-1502
Practice Address - Country:US
Practice Address - Phone:210-434-5566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX58824183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist