Provider Demographics
NPI:1578848834
Name:LAMBERT, ZACHARY ALAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:ALAN
Last Name:LAMBERT
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 1:4400 CENTERPLACE DR
Mailing Address - Street 2:T-1813
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-3756
Mailing Address - Country:US
Mailing Address - Phone:970-330-5414
Mailing Address - Fax:970-330-5414
Practice Address - Street 1:4400 CENTERPLACE DR
Practice Address - Street 2:T-1813
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-3756
Practice Address - Country:US
Practice Address - Phone:970-330-5414
Practice Address - Fax:970-330-5414
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO18231183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist