Provider Demographics
NPI:1184954323
Name:EUBANK-ZAVALETA, SHARON KAY (RPH)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:KAY
Last Name:EUBANK-ZAVALETA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 YACHTSMANS POINT DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27292-6925
Mailing Address - Country:US
Mailing Address - Phone:336-798-5084
Mailing Address - Fax:
Practice Address - Street 1:1015 RANDOLPH ST
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-5876
Practice Address - Country:US
Practice Address - Phone:336-474-6933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-11
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202010044183500000X
NC14037183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist