Healthcare Provider Details

I. General information

NPI: 1801329941
Provider Name (Legal Business Name): ZOLI RX
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2017
Last Update Date: 03/06/2024
Certification Date: 02/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 OUTLET CENTER DR STE 445
OXNARD CA
93036-0628
US

IV. Provider business mailing address

2200 OUTLET CENTER DR STE 445
OXNARD CA
93036-0628
US

V. Phone/Fax

Practice location:
  • Phone: 805-222-0819
  • Fax: 805-222-0819
Mailing address:
  • Phone: 805-222-0819
  • Fax: 805-222-0819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number55460
License Number StateCA

VIII. Authorized Official

Name: FARZAD TAFAZZOLI
Title or Position: PRESIDENT
Credential:
Phone: 805-222-0819