Provider Demographics
NPI:1902571003
Name:MWANGI, ZACCHAEUS NGIGI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ZACCHAEUS
Middle Name:NGIGI
Last Name:MWANGI
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 1:1871 CHAMBLEE TUCKER RD
Mailing Address - Street 2:
Mailing Address - City:CHAMBLEE
Mailing Address - State:GA
Mailing Address - Zip Code:30341-2737
Mailing Address - Country:US
Mailing Address - Phone:770-455-4699
Mailing Address - Fax:
Practice Address - Street 1:1871 CHAMBLEE TUCKER RD
Practice Address - Street 2:
Practice Address - City:CHAMBLEE
Practice Address - State:GA
Practice Address - Zip Code:30341-2737
Practice Address - Country:US
Practice Address - Phone:770-455-4699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH033115183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist