Provider Demographics
NPI:1518485606
Name:PARKER, ZACHARY DOUGLAS (PHARM D)
Entity Type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:DOUGLAS
Last Name:PARKER
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 E COURT ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-5846
Mailing Address - Country:US
Mailing Address - Phone:830-379-1450
Mailing Address - Fax:830-372-3211
Practice Address - Street 1:1005 E COURT ST STE 100
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-5846
Practice Address - Country:US
Practice Address - Phone:830-379-1450
Practice Address - Fax:830-372-3211
Is Sole Proprietor?:No
Enumeration Date:2017-09-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40288183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX086203902Medicaid