Provider Demographics
NPI:1174995435
Name:MERCER, ZACHARY D (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:D
Last Name:MERCER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 NEW BERN STATION CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-1154
Mailing Address - Country:US
Mailing Address - Phone:240-671-7233
Mailing Address - Fax:
Practice Address - Street 1:570 NEW BERN STATION CT
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-1154
Practice Address - Country:US
Practice Address - Phone:240-671-7233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-27
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC36192183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist