Individual
DR. NICHOLAS WALTER ZARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1250 N PORT WASHINGTON RD, GRAFTON, WI 53024-9315
(262) 375-6738
Mailing address
107 E HAWTHORNE CT, LAKE BLUFF, IL 60044-2711
(847) 714-4104
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16872-40
WI
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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