Provider Demographics
NPI:1679140578
Name:JAYSON, ZACHARY M (PHARMD)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:M
Last Name:JAYSON
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 1:9300 E FLORIDA AVE UNIT 1502
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-3419
Mailing Address - Country:US
Mailing Address - Phone:720-440-0038
Mailing Address - Fax:
Practice Address - Street 1:950 S QUEBEC ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-2003
Practice Address - Country:US
Practice Address - Phone:303-388-1805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-08
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0022556183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist