Healthcare Provider Details

I. General information

NPI: 1477824944
Provider Name (Legal Business Name): YADRANCA RUJITA ZUREK PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2012
Last Update Date: 01/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2005 NORTHWEST BLVD
NEWTON NC
28658-3721
US

IV. Provider business mailing address

205 ARBOR RUN DR APT H
LINCOLNTON NC
28092-6419
US

V. Phone/Fax

Practice location:
  • Phone: 828-464-9393
  • Fax: 828-465-1908
Mailing address:
  • Phone: 304-288-3035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number22262
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: