Provider Demographics
NPI:1437703006
Name:ZUBY, JARED MITCHELL (PHARMD)
Entity Type:Individual
Prefix:
First Name:JARED
Middle Name:MITCHELL
Last Name:ZUBY
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 1:8734 CIMARRON CIR
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-3902
Mailing Address - Country:US
Mailing Address - Phone:443-883-6217
Mailing Address - Fax:
Practice Address - Street 1:301 E PULASKI HWY
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-6415
Practice Address - Country:US
Practice Address - Phone:410-620-1325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-31
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD26691183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist