Provider Demographics
NPI:1992014542
Name:ROSKO, ZACHARY R (PHARMD, BCPS)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:R
Last Name:ROSKO
Suffix:
Gender:M
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9012 FEATHER RIVER CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-2364
Mailing Address - Country:US
Mailing Address - Phone:208-243-9278
Mailing Address - Fax:208-646-4390
Practice Address - Street 1:9012 FEATHER RIVER CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-2364
Practice Address - Country:US
Practice Address - Phone:208-243-9278
Practice Address - Fax:208-646-4390
Is Sole Proprietor?:No
Enumeration Date:2010-09-30
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP445384183500000X
ORRPH-0012419183500000X, 1835P0018X
NV233171835P0018X
IDP104921835P0018X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy