Provider Demographics
NPI:1336457118
Name:ZAK, KRISTEN NORRIS (PHARMD)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:NORRIS
Last Name:ZAK
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 1:3459 CONSTELLATION DR
Mailing Address - Street 2:
Mailing Address - City:DAVIDSONVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21035-1343
Mailing Address - Country:US
Mailing Address - Phone:650-515-8392
Mailing Address - Fax:
Practice Address - Street 1:2003 MEDICAL PKWY STE G10
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3065
Practice Address - Country:US
Practice Address - Phone:443-481-5826
Practice Address - Fax:443-481-5798
Is Sole Proprietor?:No
Enumeration Date:2010-09-15
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD273981835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care