MEDICARE: MR. SCOTT DENIS ZEIGLER BS PHARM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	115080-7	MN

General Provider Information

NPI Number	:	1023235264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SCOTT DENIS ZEIGLER BS PHARM

Provider Business Mailing Address
First Line	:	131 RED OAK LN
Second Line	:
City	:	MANKATO
State	:	MN
Zip	:	56001-8997
Country	:	US
Telephone Number	:	507-387-6959
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 NORTH SUNRISE DR
Second Line	:	SUITE 300
City	:	SAINT PETER
State	:	MN
Zip	:	56082-5376
Country	:	US
Telephone Number	:	507-931-7354
Fax Number	:	507-931-5497

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	07/06/2011

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