Provider Demographics
NPI:1205243086
Name:ZING PHARMACY LLC
Entity type:Organization
Organization Name:ZING PHARMACY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:PHUONG
Authorized Official - Middle Name:NGOC
Authorized Official - Last Name:PHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-253-4370
Mailing Address - Street 1:2615 W PIONEER PKWY STE 139
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75051-3618
Mailing Address - Country:US
Mailing Address - Phone:214-788-2826
Mailing Address - Fax:214-788-2827
Practice Address - Street 1:2615 W PIONEER PKWY STE 139
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-3618
Practice Address - Country:US
Practice Address - Phone:214-788-2826
Practice Address - Fax:214-788-2827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-14
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX293423336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy