Healthcare Provider Details

I. General information

NPI: 1982984464
Provider Name (Legal Business Name): JAMES A ZOLMAN RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2011
Last Update Date: 08/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1771 HOLTON RD
NORTH MUSKEGON MI
49445-1452
US

IV. Provider business mailing address

4009 OAK HOLLOW CT
NORTON SHORES MI
49441-4566
US

V. Phone/Fax

Practice location:
  • Phone: 231-744-1391
  • Fax:
Mailing address:
  • Phone: 231-780-4215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302020611
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: