Healthcare Provider Details

I. General information

NPI: 1558703769
Provider Name (Legal Business Name): KAYLEIGH A ZISKA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAYLEIGH AMANDA WILSON PHARMD

II. Dates (important events)

Enumeration Date: 07/29/2013
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7219 N LITCHFIELD RD BLDG 1130
LUKE AIR FORCE BASE AZ
85309-1529
US

IV. Provider business mailing address

12462 W EL NIDO LN
LITCHFIELD PARK AZ
85340-3467
US

V. Phone/Fax

Practice location:
  • Phone: 623-856-2273
  • Fax:
Mailing address:
  • Phone: 412-551-2975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS019960
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: