Provider Demographics
NPI:1518950492
Name:ZABRISKIE, DONALD E JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:E
Last Name:ZABRISKIE
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9199 WILLOWBROOK CT
Mailing Address - Street 2:
Mailing Address - City:OLMSTED FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44138-3271
Mailing Address - Country:US
Mailing Address - Phone:216-889-6399
Mailing Address - Fax:216-889-6409
Practice Address - Street 1:18101 LORAIN AVE
Practice Address - Street 2:FAIRVIEW HOSPITAL PHARMACY DEPT
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-5612
Practice Address - Country:US
Practice Address - Phone:216-889-6399
Practice Address - Fax:216-889-6409
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-10126183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist