Provider Demographics
NPI:1174980551
Name:CHAKRA, ZACK (PHARMD)
Entity type:Individual
Prefix:
First Name:ZACK
Middle Name:
Last Name:CHAKRA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:ZAHER
Other - Middle Name:
Other - Last Name:ABOU CHAKRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:205 COBURN CT
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29715-6928
Mailing Address - Country:US
Mailing Address - Phone:704-277-4313
Mailing Address - Fax:
Practice Address - Street 1:837 W FLOYD BAKER BLVD
Practice Address - Street 2:
Practice Address - City:GAFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29341-1805
Practice Address - Country:US
Practice Address - Phone:864-902-0374
Practice Address - Fax:864-902-8236
Is Sole Proprietor?:No
Enumeration Date:2016-01-15
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25673183500000X
SC38091183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist