Provider Demographics
NPI:1053602912
Name:MTM PHARMACY ASSOCIATES
Entity type:Organization
Organization Name:MTM PHARMACY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & CHIEF CLINICAL PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:HARMON
Authorized Official - Last Name:ZOOK
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:919-349-1762
Mailing Address - Street 1:PO BOX 382
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27512-0382
Mailing Address - Country:US
Mailing Address - Phone:919-349-1762
Mailing Address - Fax:919-467-5340
Practice Address - Street 1:100 TURQUOISE CREEK DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-5616
Practice Address - Country:US
Practice Address - Phone:919-349-1762
Practice Address - Fax:919-467-5340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC169091835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatricGroup - Single Specialty