Healthcare Provider Details

I. General information

NPI: 1225065378
Provider Name (Legal Business Name): EDWARD JOSEPH ZATTA RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 02/07/2023
Certification Date: 01/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 MARKET ST SUITE 4
STEUBENVILLE OH
43952-2871
US

IV. Provider business mailing address

4835 US HIGHWAY 33
ATHENS OH
45701
US

V. Phone/Fax

Practice location:
  • Phone: 740-284-1810
  • Fax: 740-284-1814
Mailing address:
  • Phone: 403-594-5137
  • Fax: 740-284-1814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP0006608
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03117450
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03-01-17450
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: