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NPI Code Detail

MEDICARE: DR. JOHN ROBERT POIRIER V PHARMD

MEDICARE: DR. JOHN ROBERT POIRIER V PHARMD
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
1183500000XPharmacistS025902AZ

General Provider Information

NPI Number : 1396465506
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN ROBERT POIRIER V PHARMD
Provider Business Mailing Address
First Line : 19986 E CARRIAGE WAY
Second Line :
City : QUEEN CREEK
State : AZ
Zip : 85142-4907
Country : US
Telephone Number : 480-292-1851
Fax Number :
Provider Business Practice Location Address
First Line : 4005 E CHANDLER BLVD
Second Line :
City : PHOENIX
State : AZ
Zip : 85048-8888
Country : US
Telephone Number : 480-759-4479
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2022
Last Update Date : 08/29/2022

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Directions to “ DR. JOHN ROBERT POIRIER V PHARMD” Practice Location

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