Provider Demographics
NPI:1669554994
Name:CONTRERAS, ZACHARY CHRISTIAN (RPH)
Entity type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:CHRISTIAN
Last Name:CONTRERAS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8716 CASA DEL RIO CT
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-6354
Mailing Address - Country:US
Mailing Address - Phone:916-863-5443
Mailing Address - Fax:916-863-5443
Practice Address - Street 1:10901 GOLD CENTER DR STE 250
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-6069
Practice Address - Country:US
Practice Address - Phone:916-861-7774
Practice Address - Fax:916-861-4334
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42242183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist