Healthcare Provider Details

I. General information

NPI: 1407058449
Provider Name (Legal Business Name): CHRISTINE E ZAPZALKA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 11/16/2022
Certification Date: 11/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 1ST ST NE
SARTELL MN
56377-1274
US

IV. Provider business mailing address

1113 11TH ST SW
LITTLE FALLS MN
56345-1917
US

V. Phone/Fax

Practice location:
  • Phone: 320-255-0801
  • Fax: 320-230-3825
Mailing address:
  • Phone: 320-632-5296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number117757
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: