Provider Demographics
NPI:1497392450
Name:ZACHARIAH, GEORGE (PHARMD, APH)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:
Last Name:ZACHARIAH
Suffix:
Gender:M
Credentials:PHARMD, APH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16611 YVETTE WAY
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-1106
Mailing Address - Country:US
Mailing Address - Phone:323-614-5632
Mailing Address - Fax:
Practice Address - Street 1:16611 YVETTE WAY
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-1106
Practice Address - Country:US
Practice Address - Phone:323-614-5632
Practice Address - Fax:951-269-4302
Is Sole Proprietor?:No
Enumeration Date:2019-12-09
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA80893183500000X
CA111901835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist