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NPI Code Detail

MEDICARE: DR. ZACHARY LONG RILEY PHARM. D

MEDICARE: DR. ZACHARY LONG RILEY 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
1183500000XPharmacist19952AL

General Provider Information

NPI Number : 1568945657
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ZACHARY LONG RILEY PHARM. D
Provider Business Mailing Address
First Line : PO BOX 1246
Second Line :
City : LIVINGSTON
State : AL
Zip : 35470-1246
Country : US
Telephone Number : 205-725-8118
Fax Number : 205-392-7006
Provider Business Practice Location Address
First Line : 583 4TH AVE
Second Line :
City : YORK
State : AL
Zip : 36925-2008
Country : US
Telephone Number : 205-725-8118
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2018
Last Update Date : 09/13/2018

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