Healthcare Provider Details
I. General information
NPI: 1831589613
Provider Name (Legal Business Name): BARBARA ZEPP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/30/2015
Last Update Date: 01/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
960 LITITZ PIKE
LITITZ PA
17543-9327
US
IV. Provider business mailing address
418 S CEDAR ST
LITITZ PA
17543-2714
US
V. Phone/Fax
- Phone: 717-627-8251
- Fax: 717-627-8261
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183700000X |
| Taxonomy | Pharmacy Technician |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: