Provider Demographics
NPI:1841714441
Name:ZAREK, BRYAN DAVID (PHARMD)
Entity type:Individual
Prefix:
First Name:BRYAN
Middle Name:DAVID
Last Name:ZAREK
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 1:4121 HARWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-4021
Mailing Address - Country:US
Mailing Address - Phone:817-571-6995
Mailing Address - Fax:817-571-8583
Practice Address - Street 1:4121 HARWOOD RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-4021
Practice Address - Country:US
Practice Address - Phone:817-571-6995
Practice Address - Fax:817-571-8583
Is Sole Proprietor?:No
Enumeration Date:2017-07-26
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60753183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist