Healthcare Provider Details

I. General information

NPI: 1043526775
Provider Name (Legal Business Name): MICHAEL ANDREW ZIELINSKI PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2010
Last Update Date: 08/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1465 W BROAD ST STE 15
QUAKERTOWN PA
18951-1189
US

IV. Provider business mailing address

2131 PINTO RD
WARRINGTON PA
18976-2136
US

V. Phone/Fax

Practice location:
  • Phone: 215-536-7651
  • Fax:
Mailing address:
  • Phone: 267-614-3678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP444621
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: