Healthcare Provider Details

I. General information

NPI: 1821552548
Provider Name (Legal Business Name): MAFE ZMAJEVAC PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2019
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5410 MARYLAND WAY STE 400
BRENTWOOD TN
37027-8087
US

IV. Provider business mailing address

5410 MARYLAND WAY STE 400
BRENTWOOD TN
37027-8087
US

V. Phone/Fax

Practice location:
  • Phone: 470-567-7352
  • Fax:
Mailing address:
  • Phone: 470-567-7352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number22068
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH035515
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: