Healthcare Provider Details

I. General information

NPI: 1467815852
Provider Name (Legal Business Name): ELIZABETH ZIBELL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2016
Last Update Date: 04/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 US HIGHWAY 127 S
FRANKFORT KY
40601-4395
US

IV. Provider business mailing address

1300 US HIGHWAY 127 S
FRANKFORT KY
40601-4395
US

V. Phone/Fax

Practice location:
  • Phone: 502-875-5997
  • Fax: 847-396-3249
Mailing address:
  • Phone: 502-875-5997
  • Fax: 847-396-3249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number018077
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: