Healthcare Provider Details

I. General information

NPI: 1275888737
Provider Name (Legal Business Name): LAUREN CHRISTINE ZILER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2012
Last Update Date: 11/16/2020
Certification Date: 11/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CABELA DR
TRIADELPHIA WV
26059-1023
US

IV. Provider business mailing address

122 DIPINO DR
COLLIERS WV
26035-1210
US

V. Phone/Fax

Practice location:
  • Phone: 304-547-2981
  • Fax: 304-547-2991
Mailing address:
  • Phone: 304-374-4034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP0007948
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: