Provider Demographics
NPI:1417517988
Name:COMPTON, ZACHARY BRIAN TATE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:BRIAN TATE
Last Name:COMPTON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:691 BEECH CRK
Mailing Address - Street 2:
Mailing Address - City:PHELPS
Mailing Address - State:KY
Mailing Address - Zip Code:41553-9018
Mailing Address - Country:US
Mailing Address - Phone:606-984-5256
Mailing Address - Fax:
Practice Address - Street 1:4209 N MAYO TRL
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-3210
Practice Address - Country:US
Practice Address - Phone:606-432-0331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY020630183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist