Provider Demographics
NPI:1891328217
Name:HAROLD ZILBERMAN MD CHARTERED
Entity Type:Organization
Organization Name:HAROLD ZILBERMAN MD CHARTERED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY DISPENSARY MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:VELASQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-684-1288
Mailing Address - Street 1:10620 SOUTHERN HIGHLANDS PKWY # 110-513
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89141-4371
Mailing Address - Country:US
Mailing Address - Phone:702-457-5437
Mailing Address - Fax:725-214-3003
Practice Address - Street 1:880 SEVEN HILLS DR STE 100
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4372
Practice Address - Country:US
Practice Address - Phone:702-457-5437
Practice Address - Fax:725-214-3003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-13
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site