Provider Demographics
NPI:1770924193
Name:KLICK, ZACHARY PETER (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:PETER
Last Name:KLICK
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 1:1 MEDICAL CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-0001
Mailing Address - Country:US
Mailing Address - Phone:336-716-9348
Mailing Address - Fax:339-716-9188
Practice Address - Street 1:1 MEDICAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-0001
Practice Address - Country:US
Practice Address - Phone:336-716-9348
Practice Address - Fax:339-716-9188
Is Sole Proprietor?:No
Enumeration Date:2013-07-14
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC235281835C0206X
NC7002881835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No1835C0206XPharmacy Service ProvidersPharmacistCardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC23528OtherNORTH CAROLINA LICENSE