Provider Demographics
NPI:1578912382
Name:ZIMMERMAN, JONATHAN SETH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:SETH
Last Name:ZIMMERMAN
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 1:171 CLINTON AVE
Mailing Address - Street 2:
Mailing Address - City:SPRING CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37381-4037
Mailing Address - Country:US
Mailing Address - Phone:423-365-6351
Mailing Address - Fax:423-365-4877
Practice Address - Street 1:171 CLINTON AVE
Practice Address - Street 2:
Practice Address - City:SPRING CITY
Practice Address - State:TN
Practice Address - Zip Code:37381-4037
Practice Address - Country:US
Practice Address - Phone:423-365-6351
Practice Address - Fax:423-365-4877
Is Sole Proprietor?:No
Enumeration Date:2016-06-13
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN39252183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist