MEDICARE: ZACHARY HERRINGTON 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
1	1835P2201X	Ambulatory Care Pharmacist	03441075	OH

General Provider Information

NPI Number	:	1538840681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARY HERRINGTON PHARMD

Provider Business Mailing Address
First Line	:	248 MAIN ST APT 503
Second Line	:
City	:	WESTLAKE
State	:	OH
Zip	:	44145-8168
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3609 PARK EAST DR
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-4331
Country	:	US
Telephone Number	:	740-424-6337
Fax Number	:

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

Provider Enumeration Date	:	07/31/2023
Last Update Date	:	07/31/2023

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