Provider Demographics
NPI:1780134296
Name:HECOX, ZACHARY DAVID (PHARMD)
Entity type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:DAVID
Last Name:HECOX
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 1:217 CAROLINA FOREST BLVD APT 6-308
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-6083
Mailing Address - Country:US
Mailing Address - Phone:315-292-4518
Mailing Address - Fax:
Practice Address - Street 1:4250 WESTERN BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-7628
Practice Address - Country:US
Practice Address - Phone:910-467-0976
Practice Address - Fax:910-467-0975
Is Sole Proprietor?:No
Enumeration Date:2016-10-07
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC26525183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist