Provider Demographics
NPI:1619766888
Name:ZIKS FAMILY PHARMACY INC 100
Entity type:Organization
Organization Name:ZIKS FAMILY PHARMACY INC 100
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NNODUM
Authorized Official - Middle Name:
Authorized Official - Last Name:IHEME
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:513-739-6293
Mailing Address - Street 1:1130 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45402-6812
Mailing Address - Country:US
Mailing Address - Phone:937-225-9350
Mailing Address - Fax:937-225-9355
Practice Address - Street 1:1130 W 3RD ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45402-6812
Practice Address - Country:US
Practice Address - Phone:937-225-9350
Practice Address - Fax:937-225-9355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No1835G0303XPharmacy Service ProvidersPharmacistGeriatricGroup - Multi-Specialty
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy