Healthcare Provider Details

I. General information

NPI: 1699003632
Provider Name (Legal Business Name): MS. ELIZABETH A ZAPALAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2009
Last Update Date: 07/26/2023
Certification Date: 07/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3061 COLLEGE PARK DR
THE WOODLANDS TX
77384-8022
US

IV. Provider business mailing address

3061 COLLEGE PARK DR
THE WOODLANDS TX
77384-8022
US

V. Phone/Fax

Practice location:
  • Phone: 936-271-9471
  • Fax: 936-271-9476
Mailing address:
  • Phone: 936-271-9471
  • Fax: 936-271-9476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number38395
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: