Healthcare Provider Details

I. General information

NPI: 1164748349
Provider Name (Legal Business Name): SHARLYN ANN ZAPP PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHARLYN ANN JOHNSON PHARMACIST

II. Dates (important events)

Enumeration Date: 04/14/2010
Last Update Date: 04/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3421 W THUNDERBIRD RD
PHOENIX AZ
85053-5602
US

IV. Provider business mailing address

20668 N 16TH PL
PHOENIX AZ
85024-4355
US

V. Phone/Fax

Practice location:
  • Phone: 602-375-0193
  • Fax: 602-862-0936
Mailing address:
  • Phone: 623-516-0388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number11100
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: