Provider Demographics
NPI:1619592854
Name:OBERT, ZACHARY JOSEPH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:JOSEPH
Last Name:OBERT
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 1:8210 WINTON RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-5903
Mailing Address - Country:US
Mailing Address - Phone:513-931-5411
Mailing Address - Fax:
Practice Address - Street 1:8210 WINTON RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-5903
Practice Address - Country:US
Practice Address - Phone:513-931-5411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-13
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03438738183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH03438738OtherOHIO PHARMACIST LICENSE
KY021723OtherKENTUCKY PHARMACIST LICENSE