Provider Demographics
NPI:1598107336
Name:MERRY, ZACHARY ADAM (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:ADAM
Last Name:MERRY
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 1:1479 COUNTY ROUTE 6
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:NY
Mailing Address - Zip Code:13069-4489
Mailing Address - Country:US
Mailing Address - Phone:315-532-9666
Mailing Address - Fax:
Practice Address - Street 1:360 W 1ST ST S
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:NY
Practice Address - Zip Code:13069-2441
Practice Address - Country:US
Practice Address - Phone:315-593-8378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-22
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY058073183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist