Healthcare Provider Details

I. General information

NPI: 1942582887
Provider Name (Legal Business Name): GREG ZINIS PHARM. D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2011
Last Update Date: 09/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1316 BATTLEFIELD BLVD N
CHESAPEAKE VA
23320-4517
US

IV. Provider business mailing address

1316 BATTLEFIELD BLVD N
CHESAPEAKE VA
23320-4517
US

V. Phone/Fax

Practice location:
  • Phone: 757-548-4217
  • Fax:
Mailing address:
  • Phone: 757-548-4217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202209604
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: