Provider Demographics
NPI:1821615246
Name:PLACHINSKI, ZACHARY J (PHARMD)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:J
Last Name:PLACHINSKI
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 1:6203 WILLIAMSBURG WAY APT 420
Mailing Address - Street 2:
Mailing Address - City:DEFOREST
Mailing Address - State:WI
Mailing Address - Zip Code:53532-9121
Mailing Address - Country:US
Mailing Address - Phone:414-315-2545
Mailing Address - Fax:
Practice Address - Street 1:208 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:RIO
Practice Address - State:WI
Practice Address - Zip Code:53960-7102
Practice Address - Country:US
Practice Address - Phone:920-992-3369
Practice Address - Fax:920-992-3371
Is Sole Proprietor?:No
Enumeration Date:2020-07-01
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI19410-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist