MR. Zachariah Maxwell, PHARMD

NPI #1780966556 in Bloomington, Illinois

Provider Information

NPI Number: 1780966556
Entity Type: Individual
Name: MR. Zachariah Maxwell, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Sep 16, 2011
Last Updated: Sep 16, 2011

Practice Location

Address: 1511 KELL AVE
City: Bloomington
State: Illinois
ZIP Code: 61705-7136
Phone: (217) 972-0152

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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