Healthcare Provider Details

I. General information

NPI: 1104968882
Provider Name (Legal Business Name): MICHAEL E ZINT R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12135 POMMERT RD
GREENFIELD OH
45123-9274
US

IV. Provider business mailing address

12135 POMMERT RD
GREENFIELD OH
45123-9274
US

V. Phone/Fax

Practice location:
  • Phone: 937-981-2024
  • Fax: 937-981-2455
Mailing address:
  • Phone: 937-981-2024
  • Fax: 937-981-2455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03112447
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: