Provider Demographics
NPI:1861016677
Name:KASTER, ZACHARY RAY (PHARMD)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:RAY
Last Name:KASTER
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 1:1048 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:TECUMSEH
Mailing Address - State:NE
Mailing Address - Zip Code:68450-2029
Mailing Address - Country:US
Mailing Address - Phone:402-335-7101
Mailing Address - Fax:
Practice Address - Street 1:1821 S 11TH ST
Practice Address - Street 2:
Practice Address - City:NEBRASKA CITY
Practice Address - State:NE
Practice Address - Zip Code:68410-3474
Practice Address - Country:US
Practice Address - Phone:402-873-3397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-08
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE15183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist