Healthcare Provider Details

I. General information

NPI: 1538985023
Provider Name (Legal Business Name): ZENITH ALCHEMY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2024
Last Update Date: 11/29/2024
Certification Date: 11/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3710 AUSTIN DAVIS AVE STE 130
TALLAHASSEE FL
32308-7412
US

IV. Provider business mailing address

3710 AUSTIN DAVIS AVE STE 130
TALLAHASSEE FL
32308-7412
US

V. Phone/Fax

Practice location:
  • Phone: 850-900-9700
  • Fax: 850-900-9800
Mailing address:
  • Phone: 850-900-9700
  • Fax: 850-900-9800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: PRIJAY SURTI
Title or Position: PHARMACIST
Credential:
Phone: 214-709-6251