Individual
DR. DESTENEE G ZACHARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1415 LAKE COOK RD MS L449, DEERFIELD, IL 60015-5213
(847) 964-6741
Mailing address
1415 LAKE COOK RD MS L#449, DEERFIELD, IL 60015
(847) 964-6741
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Enumeration date
10/03/2006
Last updated
12/07/2007
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