Healthcare Provider Details

I. General information

NPI: 1659882017
Provider Name (Legal Business Name): ZACHARY SCOTT GUERRINI PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2017
Last Update Date: 10/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 UPPER ROCK CIRCLE
ROCKVILLE MD
20850
US

IV. Provider business mailing address

8710 CAMERON ST UNIT 722
SILVER SPRING MD
20910-3726
US

V. Phone/Fax

Practice location:
  • Phone: 301-963-8932
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number25291
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: