Healthcare Provider Details

I. General information

NPI: 1972427029
Provider Name (Legal Business Name): ZACHARY S GLANZ PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 COMMUNITY DR APT 408
NORTH LIBERTY IA
52317-6715
US

IV. Provider business mailing address

755 COMMUNITY DR APT 408
NORTH LIBERTY IA
52317-6715
US

V. Phone/Fax

Practice location:
  • Phone: 319-450-4178
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number25095
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: