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NPI Code Detail

MEDICARE: ZACHARY JAMES ALBAUGH

MEDICARE: ZACHARY JAMES ALBAUGH
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
1183500000XPharmacist051293403IL
2183500000XPharmacist03329272OH

General Provider Information

NPI Number : 1417543695
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY JAMES ALBAUGH
Provider Business Mailing Address
First Line : 308 POTAWATOMI DR
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-2372
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2100 E DUBLIN GRANVILLE RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-3518
Country : US
Telephone Number : 614-891-1410
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2020
Last Update Date : 12/11/2020

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