Provider Demographics
NPI:1518244243
Name:SKRTIC, ZELJKO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ZELJKO
Middle Name:
Last Name:SKRTIC
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 1:4368 HANNA HILLS DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-9518
Mailing Address - Country:US
Mailing Address - Phone:440-840-6182
Mailing Address - Fax:
Practice Address - Street 1:3015 E LIVINGSTON AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43209-3047
Practice Address - Country:US
Practice Address - Phone:614-236-8622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-09
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03326948183500000X
FLPS44067183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist