Healthcare Provider Details

I. General information

NPI: 1679182513
Provider Name (Legal Business Name): RANDY DANIEL ZELLER RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2020
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 COLUMBUS PIKE
DELAWARE OH
43015-2728
US

IV. Provider business mailing address

1840 COLUMBUS PIKE
DELAWARE OH
43015-2728
US

V. Phone/Fax

Practice location:
  • Phone: 740-363-0035
  • Fax:
Mailing address:
  • Phone: 419-792-9039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03439929
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: