Provider Demographics
NPI:1619225075
Name:ZOLOTY, ALEXANDRA (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:
Last Name:ZOLOTY
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34099 MELINZ PKWY
Mailing Address - Street 2:UNIT G
Mailing Address - City:EASTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44095-4041
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:34099 MELINZ PKWY
Practice Address - Street 2:UNIT G
Practice Address - City:EASTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44095-4041
Practice Address - Country:US
Practice Address - Phone:800-232-4239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-16
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03132092183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist