Healthcare Provider Details

I. General information

NPI: 1982053880
Provider Name (Legal Business Name): ZOIA PHARMA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2016
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11912 NE 95TH ST. SUITE 360
VANCOUVER WA
98682-2457
US

IV. Provider business mailing address

11912 NE 95TH ST STE 360
VANCOUVER WA
98682-2457
US

V. Phone/Fax

Practice location:
  • Phone: 800-223-4376
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335G00000X
TaxonomyMedical Foods Supplier
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. ERIC MOLLMAN
Title or Position: CFO
Credential:
Phone: 800-223-4376