Individual
MRS. MARY HAZEN ZIMMERMAN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH, BCPS, CACP
Contact information
Practice address
4307 ODANA RD, MADISON, WI 53711-1511
(608) 256-1901
(608) 280-7024
Mailing address
4307 ODANA RD, MADISON, WI 53711-1511
(608) 256-1901
(608) 280-7024
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8968-040
WI
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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