Provider Demographics
NPI:1629543541
Name:MULLIN, ZACHARY WILLIAM (PHARM D)
Entity Type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:WILLIAM
Last Name:MULLIN
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3306 SWEET PL
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29492-2845
Mailing Address - Country:US
Mailing Address - Phone:507-304-5351
Mailing Address - Fax:
Practice Address - Street 1:776 DANIEL ELLIS DR STE 2C
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29412-3096
Practice Address - Country:US
Practice Address - Phone:843-795-9554
Practice Address - Fax:843-795-2660
Is Sole Proprietor?:No
Enumeration Date:2018-10-07
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC37725183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist