National Provider Identifier

Zachary Mistretta

Zachary Mistretta is listed in the NPPES registry with a primary specialty of Pharmacist in Brockport, NY and a listed phone number of (585) 637-6855.

NPI 1093420978Brockport, NYPharmacist

Profile Overview

NPI
1093420978
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
January 16, 2023
Last Updated
January 16, 2023

Practice Location

  • 6660 4Th Section RD
  • Brockport, NY 14420-2419

Phone: (585) 637-6855

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1093420978
Entity Type
Individual
Last Name
Mistretta
First Name
Zachary
Mailing Street Address
6660 4Th Section RD
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-2419
Mailing Country
US
Practice Street Address
6660 4Th Section RD
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-2419
Practice Country
US
Practice Phone
(585) 637-6855
Enumeration Date
January 16, 2023
Last Updated
January 16, 2023
Sex
Male
Sole Proprietor
No
Certification Date
January 16, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)