Healthcare Provider Details

I. General information

NPI: 1770174575
Provider Name (Legal Business Name): ZACHARY STEPHEN AYERS PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2021
Last Update Date: 02/03/2021
Certification Date: 02/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 PUBLIC SQ
WATERTOWN TN
37184-1421
US

IV. Provider business mailing address

612 SAPPHIRE DR
MURFREESBORO TN
37128-0647
US

V. Phone/Fax

Practice location:
  • Phone: 615-237-0054
  • Fax:
Mailing address:
  • Phone: 731-363-3336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number42074
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: