Healthcare Provider Details

I. General information

NPI: 1023048311
Provider Name (Legal Business Name): MARCIA CHACE ZEITHAMEL B.S., PHARM D, BCPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 02/23/2024
Certification Date: 02/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 HIGHWAY 6 W
IOWA CITY IA
52246-2292
US

IV. Provider business mailing address

1654 RIDGE RD
IOWA CITY IA
52245-1629
US

V. Phone/Fax

Practice location:
  • Phone: 319-338-0581
  • Fax:
Mailing address:
  • Phone: 319-338-0382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number19947
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number19947
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: