Provider Demographics
NPI:1598153801
Name:ZENON, TERRY WINTHROP SR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TERRY
Middle Name:WINTHROP
Last Name:ZENON
Suffix:SR
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 1:10000 VIRGINIA MANOR RD STE 350
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-4205
Mailing Address - Country:US
Mailing Address - Phone:844-347-6871
Mailing Address - Fax:
Practice Address - Street 1:10000 VIRGINIA MANOR RD STE 350
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-4205
Practice Address - Country:US
Practice Address - Phone:844-347-6871
Practice Address - Fax:844-347-6870
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-08
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE9934183500000X
VA0202212836183500000X
MD22823183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist