Healthcare Provider Details

I. General information

NPI: 1235779018
Provider Name (Legal Business Name): CHRISTINE ANN ZENTNER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2020
Last Update Date: 01/09/2020
Certification Date: 01/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

723 W FAIRVIEW ST
ALBION NE
68620-1767
US

IV. Provider business mailing address

1739 STATE HIGHWAY 56
CEDAR RAPIDS NE
68627-5590
US

V. Phone/Fax

Practice location:
  • Phone: 402-395-2191
  • Fax: 402-395-3168
Mailing address:
  • Phone: 308-750-7088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number16477
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: