Provider Demographics
NPI:1518739929
Name:ZAKA, INA (PHARMD)
Entity Type:Individual
Prefix:
First Name:INA
Middle Name:
Last Name:ZAKA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 SHELLY DR
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19608-8977
Mailing Address - Country:US
Mailing Address - Phone:518-986-5661
Mailing Address - Fax:
Practice Address - Street 1:3100 SHILLINGTON RD
Practice Address - Street 2:
Practice Address - City:SINKING SPRING
Practice Address - State:PA
Practice Address - Zip Code:19608-1659
Practice Address - Country:US
Practice Address - Phone:610-678-9054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-27
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP458086183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist