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General NPI Number Information
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NPI Number | 1770924193
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Entity Type | Individual
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Provider Name | ZACHARY PETER KLICK PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 07/14/2013
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER BLVD
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City | WINSTON SALEM
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State | NC
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Zip | 27157-0001
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Country | US
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Telephone | 336-716-9348
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Fax | 339-716-9188
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Provider Business Mailing Address
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Address Line | 1 MEDICAL CENTER BLVD
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City | WINSTON SALEM
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State | NC
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Zip | 27157-0001
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Country | US
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Telephone | 336-716-9348
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Fax | 339-716-9188
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835C0206X
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Taxonomy Name | Cardiology Pharmacist
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License Number | 23528
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 700288
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License Number State | NC
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