Healthcare Provider Details

I. General information

NPI: 1326194085
Provider Name (Legal Business Name): ZIBERT PHARMACEUTICALS SERVICES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 HIGHWAY 201 N
MOUNTAIN HOME AR
72653-3158
US

IV. Provider business mailing address

116 HIGHWAY 201 N
MOUNTAIN HOME AR
72653-3158
US

V. Phone/Fax

Practice location:
  • Phone: 870-424-4010
  • Fax: 870-425-2585
Mailing address:
  • Phone: 870-424-4010
  • Fax: 870-425-2585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberAR07001
License Number StateAR

VIII. Authorized Official

Name: MR. LEO ZIBERT
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: RPH.
Phone: 870-424-4010