MEDICARE: CRAIG ZEDALIS

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	3336C0003X	Community/Retail Pharmacy	0232000228	OH

General Provider Information

NPI Number	:	1396482568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRAIG ZEDALIS

Provider Business Mailing Address
First Line	:	6030 N HAMILTON RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43081-1685
Country	:	US
Telephone Number	:	614-245-6033
Fax Number	:

Provider Business Practice Location Address
First Line	:	6030 N HAMILTON RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43081-1685
Country	:	US
Telephone Number	:	614-245-6033
Fax Number	:

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

Provider Enumeration Date	:	05/18/2022
Last Update Date	:	05/18/2022

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Directions to “ CRAIG ZEDALIS ” Practice Location

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