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NPI Code Detail

MEDICARE: MR. ATUL J AMIN

MEDICARE: MR. ATUL J AMIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist8929AZ

General Provider Information

NPI Number : 1043526817
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ATUL J AMIN
Provider Business Mailing Address
First Line : PO BOX 546
Second Line :
City : AVONDALE
State : AZ
Zip : 85323
Country : US
Telephone Number : 623-925-0701
Fax Number :
Provider Business Practice Location Address
First Line : 5102 W INDIAN SCHOOL RD (WALGREENS)
Second Line :
City : PHOENIX
State : AZ
Zip : 85031
Country : US
Telephone Number : 623-247-1012
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2010
Last Update Date : 08/31/2010

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Directions to “ MR. ATUL J AMIN ” Practice Location

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