Provider Demographics
NPI:1629188859
Name:ZAHARAS, GEORGE P (RPH)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:P
Last Name:ZAHARAS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 STETSON DR
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82009-2085
Mailing Address - Country:US
Mailing Address - Phone:307-638-8282
Mailing Address - Fax:
Practice Address - Street 1:309 STETSON DR
Practice Address - Street 2:514 SO GREELEY HWY
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-2085
Practice Address - Country:US
Practice Address - Phone:307-634-6662
Practice Address - Fax:307-634-6670
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY1789183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist