Healthcare Provider Details

I. General information

NPI: 1871892943
Provider Name (Legal Business Name): ROSEMARIE ZADLO LAWRENCE B.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2011
Last Update Date: 03/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11327 E. DIXIE DR.
ASHEBORO NC
27203-6216
US

IV. Provider business mailing address

11327 E. DIXIE DR.
ASHEBORO NC
27203-6216
US

V. Phone/Fax

Practice location:
  • Phone: 336-629-7035
  • Fax: 336-626-6928
Mailing address:
  • Phone: 336-629-7035
  • Fax: 336-626-6928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number08937
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: