Provider Demographics
NPI:1609062595
Name:ZACHER, LOIS E (RPH)
Entity Type:Individual
Prefix:
First Name:LOIS
Middle Name:E
Last Name:ZACHER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 39
Mailing Address - Street 2:7155 39TH ST NW
Mailing Address - City:PARSHALL
Mailing Address - State:ND
Mailing Address - Zip Code:58770-0039
Mailing Address - Country:US
Mailing Address - Phone:701-862-3312
Mailing Address - Fax:701-862-2212
Practice Address - Street 1:1 MINNI TOHE DR
Practice Address - Street 2:
Practice Address - City:NEW TOWN
Practice Address - State:ND
Practice Address - Zip Code:58763-4400
Practice Address - Country:US
Practice Address - Phone:701-627-4701
Practice Address - Fax:701-627-2815
Is Sole Proprietor?:No
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND3639183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist