MEDICARE: ELAINA MARIE ZUELKE

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	03438950	OH

General Provider Information

NPI Number	:	1922602952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELAINA MARIE ZUELKE

Provider Business Mailing Address
First Line	:	796 EBNER ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43206-2210
Country	:	US
Telephone Number	:	614-309-4349
Fax Number	:

Provider Business Practice Location Address
First Line	:	1950 HARD RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-1809
Country	:	US
Telephone Number	:	614-761-2553
Fax Number	:

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

Provider Enumeration Date	:	11/30/2020
Last Update Date	:	11/30/2020

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Directions to “ ELAINA MARIE ZUELKE ” Practice Location

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