Provider Demographics
NPI:1700410370
Name:CASTELLANO, ZOE DARLENE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ZOE
Middle Name:DARLENE
Last Name:CASTELLANO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3105 STEVENS ST APT 1
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-3545
Mailing Address - Country:US
Mailing Address - Phone:815-508-9643
Mailing Address - Fax:
Practice Address - Street 1:4518 COTTAGE GROVE RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53716-1206
Practice Address - Country:US
Practice Address - Phone:608-222-3648
Practice Address - Fax:608-222-4971
Is Sole Proprietor?:No
Enumeration Date:2020-02-23
Last Update Date:2020-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI19055-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist