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NPI Code Detail

MEDICARE: MRS. AMANDA LARAYNE MACARI PHARMD

MEDICARE: MRS. AMANDA LARAYNE MACARI 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
1183500000XPharmacistS016602AZ
2183500000XPharmacist117317MN

General Provider Information

NPI Number : 1437388097
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMANDA LARAYNE MACARI PHARMD
Provider Business Mailing Address
First Line : 33244 N 45TH PL
Second Line :
City : CAVE CREEK
State : AZ
Zip : 85331-5073
Country : US
Telephone Number : 480-575-6861
Fax Number :
Provider Business Practice Location Address
First Line : 4302 W BUCKEYE RD STE 109
Second Line :
City : PHOENIX
State : AZ
Zip : 85043-4904
Country : US
Telephone Number : 800-781-3894
Fax Number : 210-451-4765
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2009
Last Update Date : 07/04/2009

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