Healthcare Provider Details
I. General information
NPI: 1518821982
Provider Name (Legal Business Name): ZACHARY MICHAEL MARTIN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
700 CRANBERRY WOODS DR
CRANBERRY TOWNSHIP PA
16066-5213
US
IV. Provider business mailing address
700 CRANBERRY WOODS DR
CRANBERRY TOWNSHIP PA
16066-5213
US
V. Phone/Fax
- Phone: 412-963-6200
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 03445724 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | RP459419 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: