Healthcare Provider Details

I. General information

NPI: 1255638375
Provider Name (Legal Business Name): JOHN ZEULI PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2011
Last Update Date: 10/28/2020
Certification Date: 10/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 1ST ST SW
ROCHESTER MN
55905-0001
US

IV. Provider business mailing address

1216 2ND ST SW SMH PHARMACY SERVICES (MB G-722)
ROCHESTER MN
55902
US

V. Phone/Fax

Practice location:
  • Phone: 507-284-2511
  • Fax:
Mailing address:
  • Phone: 507-255-5866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number118964
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: