MEDICARE: NATHANIEL ZOOK

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	16841-40	WI

General Provider Information

NPI Number	:	1639012453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHANIEL ZOOK

Provider Business Mailing Address
First Line	:	1100 RIDGE RD
Second Line	:
City	:	WAUKESHA
State	:	WI
Zip	:	53186-1431
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 RIDGE RD
Second Line	:
City	:	WAUKESHA
State	:	WI
Zip	:	53186-1431
Country	:	US
Telephone Number	:	717-658-3095
Fax Number	:

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

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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Directions to “ NATHANIEL ZOOK ” Practice Location

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