Provider Demographics
NPI:1982053880
Name:ZOIA PHARMA LLC
Entity Type:Organization
Organization Name:ZOIA PHARMA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:360-771-4826
Mailing Address - Street 1:PO BOX 1264
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:WA
Mailing Address - Zip Code:98642-0015
Mailing Address - Country:US
Mailing Address - Phone:360-771-4826
Mailing Address - Fax:360-326-1502
Practice Address - Street 1:11912 NE 95TH ST.
Practice Address - Street 2:SUITE 360
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98682-2457
Practice Address - Country:US
Practice Address - Phone:877-379-9760
Practice Address - Fax:360-326-1502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-10
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335G00000XSuppliersMedical Foods Supplier