Provider Demographics
NPI:1962123919
Name:DEAN, ZACHARY DAVID (RPH)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:DAVID
Last Name:DEAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 TOWN COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:VANDERBILT
Mailing Address - State:PA
Mailing Address - Zip Code:15486-1222
Mailing Address - Country:US
Mailing Address - Phone:724-317-6265
Mailing Address - Fax:
Practice Address - Street 1:25 PITTSBURGH ST
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-2943
Practice Address - Country:US
Practice Address - Phone:724-438-5443
Practice Address - Fax:724-425-1114
Is Sole Proprietor?:No
Enumeration Date:2022-09-08
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP455983183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist