Healthcare Provider Details

I. General information

NPI: 1013509892
Provider Name (Legal Business Name): MONICA C ZAPPA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2021
Last Update Date: 02/03/2021
Certification Date: 02/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2846 MAHONING AVE
YOUNGSTOWN OH
44509-2737
US

IV. Provider business mailing address

6976 WHITE OAK DR
HUBBARD OH
44425-3054
US

V. Phone/Fax

Practice location:
  • Phone: 330-792-8668
  • Fax:
Mailing address:
  • Phone: 330-540-8379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03116231
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: