Provider Demographics
NPI:1841542131
Name:ROYALL, ZACHARY JOHN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:JOHN
Last Name:ROYALL
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 1:105 BUSINESS PARK LN
Mailing Address - Street 2:
Mailing Address - City:DOBSON
Mailing Address - State:NC
Mailing Address - Zip Code:27017-9026
Mailing Address - Country:US
Mailing Address - Phone:336-356-4912
Mailing Address - Fax:336-356-4915
Practice Address - Street 1:105 BUSINESS PARK LN
Practice Address - Street 2:
Practice Address - City:DOBSON
Practice Address - State:NC
Practice Address - Zip Code:27017-9026
Practice Address - Country:US
Practice Address - Phone:336-356-4912
Practice Address - Fax:336-356-4915
Is Sole Proprietor?:No
Enumeration Date:2012-10-10
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22721183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC4529330001Medicare UPIN