Healthcare Provider Details

I. General information

NPI: 1881558617
Provider Name (Legal Business Name): JUDY ZHANG PHARMD, RPH
Entity Type: Individual
Gender:
Sole Proprietor: Y

Provider Other Name: JU ZHANG PHARMD, RPH

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 1012
EAGLE BUTTE SD
57625-1012
US

IV. Provider business mailing address

PO BOX 1012
EAGLE BUTTE SD
57625-1012
US

V. Phone/Fax

Practice location:
  • Phone: 605-964-0650
  • Fax:
Mailing address:
  • Phone: 605-964-0650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP459872
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: