MEDICARE: ZACHARY HANKS PHARM D

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	S020716	AZ
2	183500000X	Pharmacist	7993231-1702	UT

General Provider Information

NPI Number	:	1306245865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARY HANKS PHARM D

Provider Business Mailing Address
First Line	:	5769 S WATERBURY CIR UNIT D
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-1149
Country	:	US
Telephone Number	:	801-419-9388
Fax Number	:

Provider Business Practice Location Address
First Line	:	2807 N POWER RD
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85215-1728
Country	:	US
Telephone Number	:	480-396-8301
Fax Number	:

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

Provider Enumeration Date	:	08/20/2014
Last Update Date	:	08/20/2014

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Directions to “ ZACHARY HANKS PHARM D” Practice Location

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