Provider Demographics
NPI:1205352416
Name:BOLLINGER, ZACHARY ROBERT (PHARMD)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:ROBERT
Last Name:BOLLINGER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1802 LEHIGH ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-4730
Mailing Address - Country:US
Mailing Address - Phone:610-797-1018
Mailing Address - Fax:610-797-8177
Practice Address - Street 1:1802 LEHIGH ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-4730
Practice Address - Country:US
Practice Address - Phone:610-797-1018
Practice Address - Fax:610-797-8177
Is Sole Proprietor?:No
Enumeration Date:2017-08-18
Last Update Date:2021-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP451810183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist