Provider Demographics
NPI:1336434984
Name:ZZS PHARMACY
Entity Type:Organization
Organization Name:ZZS PHARMACY
Other - Org Name:ZZS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZHAOQI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-400-0067
Mailing Address - Street 1:489 HIALEAH DR
Mailing Address - Street 2:SUITE 6
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-5320
Mailing Address - Country:US
Mailing Address - Phone:786-709-9201
Mailing Address - Fax:305-889-1766
Practice Address - Street 1:489 HIALEAH DR STE 6
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-5320
Practice Address - Country:US
Practice Address - Phone:786-709-9201
Practice Address - Fax:305-889-1766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-11
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH255203336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5706431OtherNCPDP PROVIDER IDENTIFICATION NUMBER