Healthcare Provider Details

I. General information

NPI: 1457611527
Provider Name (Legal Business Name): ZIMAN PHARMACEUTICAL SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2012
Last Update Date: 05/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 SANDER ST
WOODLAND CA
95776-5389
US

IV. Provider business mailing address

PO BOX 73094
DAVIS CA
95617-3094
US

V. Phone/Fax

Practice location:
  • Phone: 530-867-3189
  • Fax: 530-661-9090
Mailing address:
  • Phone: 530-867-3189
  • Fax: 530-661-9090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number62499
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number62499
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number62499
License Number StateCA

VIII. Authorized Official

Name: MELANIE DECKER
Title or Position: PRESIDENT
Credential: PHARMD
Phone: 530-867-3189