Healthcare Provider Details

I. General information

NPI: 1053230250
Provider Name (Legal Business Name): ZACHARY GEESAMAN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1017 YORK RD
TOWSON MD
21204-2516
US

IV. Provider business mailing address

137 NENTEGO DR
FRUITLAND MD
21826-1013
US

V. Phone/Fax

Practice location:
  • Phone: 410-296-4491
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number31025
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: