MEDICARE: DR. ZACHARY PETER KLICK PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835C0206X	Cardiology Pharmacist	23528	NC
2	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	700288	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	23528	OTHER	NC	NORTH CAROLINA LICENSE

General Provider Information

NPI Number	:	1770924193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZACHARY PETER KLICK PHARM.D.

Provider Business Mailing Address
First Line	:	1 MEDICAL CENTER BLVD
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27157-0001
Country	:	US
Telephone Number	:	336-716-9348
Fax Number	:	339-716-9188

Provider Business Practice Location Address
First Line	:	1 MEDICAL CENTER BLVD
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27157-0001
Country	:	US
Telephone Number	:	336-716-9348
Fax Number	:	339-716-9188

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2013
Last Update Date	:	05/22/2025

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