Provider Demographics
NPI:1356471395
Name:SHAKARJIAN, ZAKAR PETER (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:ZAKAR
Middle Name:PETER
Last Name:SHAKARJIAN
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 BAY KNOLL RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14622-3004
Mailing Address - Country:US
Mailing Address - Phone:585-467-2746
Mailing Address - Fax:
Practice Address - Street 1:64 BAY KNOLL RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14622-3004
Practice Address - Country:US
Practice Address - Phone:585-467-2746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019314183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist