Healthcare Provider Details

I. General information

NPI: 1841176989
Provider Name (Legal Business Name): JIA MI ZHU PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 SPRING ST
LOCK HAVEN PA
17745-1911
US

IV. Provider business mailing address

109 W CHURCH ST APT 5
LOCK HAVEN PA
17745-1277
US

V. Phone/Fax

Practice location:
  • Phone: 800-230-4565
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberRP458638
License Number StatePA

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: