Healthcare Provider Details
I. General information
NPI: 1346876596
Provider Name (Legal Business Name): ZACHARY TRESSEL PHARMD, BCPS
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/19/2020
Last Update Date: 03/19/2020
Certification Date: 03/19/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3535 OLENTANGY RIVER RD
COLUMBUS OH
43214-3908
US
IV. Provider business mailing address
1992 DRURY LN
COLUMBUS OH
43235-7315
US
V. Phone/Fax
- Phone: 614-566-3701
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 03131991 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1835P1200X |
| Taxonomy | Pharmacotherapy Pharmacist |
| License Number | 03131991 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: