Provider Demographics
NPI:1811596265
Name:ZINKIEWICZ, MARGARETA SYLWIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARGARETA
Middle Name:SYLWIA
Last Name:ZINKIEWICZ
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 1:650 STOECKER FARM AVE
Mailing Address - Street 2:
Mailing Address - City:MUKWONAGO
Mailing Address - State:WI
Mailing Address - Zip Code:53149-8278
Mailing Address - Country:US
Mailing Address - Phone:773-415-3210
Mailing Address - Fax:
Practice Address - Street 1:201 S EDWARDS BLVD
Practice Address - Street 2:
Practice Address - City:LAKE GENEVA
Practice Address - State:WI
Practice Address - Zip Code:53147-4507
Practice Address - Country:US
Practice Address - Phone:262-248-3391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-17
Last Update Date:2020-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI17285-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist