Provider Demographics
NPI:1376945840
Name:ZWEERINK, DENISE EARLENE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:EARLENE
Last Name:ZWEERINK
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 W LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64050-3709
Mailing Address - Country:US
Mailing Address - Phone:816-461-6546
Mailing Address - Fax:816-833-4400
Practice Address - Street 1:211 W LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64050-3709
Practice Address - Country:US
Practice Address - Phone:816-461-6546
Practice Address - Fax:816-833-4400
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-16
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO043000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist