Healthcare Provider Details

I. General information

NPI: 1518485606
Provider Name (Legal Business Name): ZACHARY DOUGLAS PARKER PHARM. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 E COURT ST STE 100
SEGUIN TX
78155-5846
US

IV. Provider business mailing address

1005 E COURT ST STE 100
SEGUIN TX
78155-5846
US

V. Phone/Fax

Practice location:
  • Phone: 830-379-1450
  • Fax: 830-372-3211
Mailing address:
  • Phone: 830-379-1450
  • Fax: 830-372-3211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number40288
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: