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NPI Code Detail

MEDICARE: ZOLA ISADORE PHARMD

MEDICARE:   ZOLA  ISADORE  PHARMD
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
1183500000XPharmacist25510NC

General Provider Information

NPI Number : 1285094797
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZOLA ISADORE PHARMD
Provider Business Mailing Address
First Line : 906 BINGHAM DR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-2842
Country : US
Telephone Number : 910-487-5359
Fax Number :
Provider Business Practice Location Address
First Line : 906 BINGHAM DR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-2842
Country : US
Telephone Number : 910-487-5359
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2016
Last Update Date : 02/25/2016

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Directions to “ ZOLA ISADORE PHARMD” Practice Location

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