Provider Demographics
NPI:1407468168
Name:CORRIA, ZAKIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ZAKIA
Middle Name:
Last Name:CORRIA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ZAKIA
Other - Middle Name:
Other - Last Name:DATCHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:687 MARINER WAY
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37402-2928
Mailing Address - Country:US
Mailing Address - Phone:301-633-4185
Mailing Address - Fax:
Practice Address - Street 1:352 W NORTHFIELD BLVD STE 3
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-1539
Practice Address - Country:US
Practice Address - Phone:844-893-0012
Practice Address - Fax:800-223-4063
Is Sole Proprietor?:No
Enumeration Date:2020-08-23
Last Update Date:2021-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL212201835P0018X
GARPH0311861835P0018X
TX619031835P0018X
MD165321835P0018X
TN426471835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist