Provider Demographics
NPI:1548763105
Name:STOWERS, ZACHARY BURTON (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:BURTON
Last Name:STOWERS
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 1:703 S OWASSO AVE APT 301
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74120-4667
Mailing Address - Country:US
Mailing Address - Phone:405-269-0211
Mailing Address - Fax:
Practice Address - Street 1:420 S 145TH EAST AVE STE B
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74108-1305
Practice Address - Country:US
Practice Address - Phone:918-947-8180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-09
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK15666183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist