Provider Demographics
NPI:1295009272
Name:HELGEN, ZACHARY DANIEL (PHARM D)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:DANIEL
Last Name:HELGEN
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2855 DUNN RD
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63033-6705
Mailing Address - Country:US
Mailing Address - Phone:314-921-9740
Mailing Address - Fax:
Practice Address - Street 1:2855 DUNN RD
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63033-6705
Practice Address - Country:US
Practice Address - Phone:314-921-9740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-08
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011023419183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist