1568945657 NPI number — DR. ZACHARY LONG RILEY PHARM. D

Table of content: DR. ZACHARY LONG RILEY PHARM. D (NPI 1568945657)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568945657 NPI number — DR. ZACHARY LONG RILEY PHARM. D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RILEY
Provider First Name:
ZACHARY
Provider Middle Name:
LONG
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHARM. D
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568945657
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/13/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1246
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LIVINGSTON
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35470-1246
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-725-8118
Provider Business Mailing Address Fax Number:
205-392-7006

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
583 4TH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36925-2008
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-725-8118
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/13/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  19952 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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