Provider Demographics
NPI:1801061874
Name:NADEL, ZACHARY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:
Last Name:NADEL
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 1:4228 SUMMIT DR
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-7841
Mailing Address - Country:US
Mailing Address - Phone:619-460-8855
Mailing Address - Fax:619-460-8855
Practice Address - Street 1:4228 SUMMIT DR
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-7841
Practice Address - Country:US
Practice Address - Phone:619-464-1478
Practice Address - Fax:619-460-8855
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH48993183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist