Provider Demographics
NPI:1558703769
Name:ZISKA, KAYLEIGH A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KAYLEIGH
Middle Name:A
Last Name:ZISKA
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 1:7455 N 95TH AVE APT 714
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85305-1331
Mailing Address - Country:US
Mailing Address - Phone:412-551-2975
Mailing Address - Fax:
Practice Address - Street 1:7455 N 95TH AVE APT 714
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85305-1331
Practice Address - Country:US
Practice Address - Phone:412-551-2975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-29
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS019960183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist