Provider Demographics
NPI:1356534069
Name:HARDY, ZENA LEHMANN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ZENA
Middle Name:LEHMANN
Last Name:HARDY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ZENA
Other - Middle Name:
Other - Last Name:LEHMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1536 N JEFFERSON ST
Mailing Address - Street 2:PHARMACY (119)
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32209-6525
Mailing Address - Country:US
Mailing Address - Phone:904-475-6053
Mailing Address - Fax:904-301-2510
Practice Address - Street 1:1536 N JEFFERSON ST
Practice Address - Street 2:PHARMACY (119)
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32209-6525
Practice Address - Country:US
Practice Address - Phone:904-475-6053
Practice Address - Fax:904-301-2510
Is Sole Proprietor?:No
Enumeration Date:2007-08-26
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS42805183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist