Provider Demographics
NPI:1023235264
Name:ZEIGLER, SCOTT DENIS (BS PHARM)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:DENIS
Last Name:ZEIGLER
Suffix:
Gender:M
Credentials:BS PHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 RED OAK LN
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-8997
Mailing Address - Country:US
Mailing Address - Phone:507-387-6959
Mailing Address - Fax:
Practice Address - Street 1:1900 NORTH SUNRISE DR
Practice Address - Street 2:SUITE 300
Practice Address - City:SAINT PETER
Practice Address - State:MN
Practice Address - Zip Code:56082-5376
Practice Address - Country:US
Practice Address - Phone:507-931-7354
Practice Address - Fax:507-931-5497
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN115080-7183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist