Provider Demographics
NPI:1659320026
Name:ZIEGLER, CHAD WAYNE (PHARM D)
Entity type:Individual
Prefix:
First Name:CHAD
Middle Name:WAYNE
Last Name:ZIEGLER
Suffix:
Gender:
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:ND
Mailing Address - Zip Code:58341-1521
Mailing Address - Country:US
Mailing Address - Phone:701-324-2227
Mailing Address - Fax:701-324-4754
Practice Address - Street 1:815 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:ND
Practice Address - Zip Code:58341-1521
Practice Address - Country:US
Practice Address - Phone:701-324-2227
Practice Address - Fax:701-324-4754
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND4743183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND20121Medicaid
ND0214-29-0001Medicare ID - Type Unspecified