Provider Demographics
NPI:1871023291
Name:SCHARP, ZAKKARY ADAM (PHARMD)
Entity Type:Individual
Prefix:
First Name:ZAKKARY
Middle Name:ADAM
Last Name:SCHARP
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 1:8235 SUNRISE LN
Mailing Address - Street 2:
Mailing Address - City:SAINT GERMAIN
Mailing Address - State:WI
Mailing Address - Zip Code:54558-9728
Mailing Address - Country:US
Mailing Address - Phone:715-661-1902
Mailing Address - Fax:
Practice Address - Street 1:232 S COURTNEY ST
Practice Address - Street 2:
Practice Address - City:RHINELANDER
Practice Address - State:WI
Practice Address - Zip Code:54501-3319
Practice Address - Country:US
Practice Address - Phone:715-369-4849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-18
Last Update Date:2017-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI18809-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist