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NPI Code Detail

MEDICARE: SALLIE J HARTNETT R.PH.

MEDICARE: SALLIE J HARTNETT R.PH.
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
1183500000XPharmacist015215AZ

General Provider Information

NPI Number : 1447585534
Entity Type Code : Individual
Provider Name (Legal Business Name) : SALLIE J HARTNETT R.PH.
Provider Business Mailing Address
First Line : 8080 S HOUGHTON RD
Second Line :
City : TUCSON
State : AZ
Zip : 85747-9308
Country : US
Telephone Number : 520-663-1961
Fax Number : 520-663-1963
Provider Business Practice Location Address
First Line : 8080 S HOUGHTON RD
Second Line :
City : TUCSON
State : AZ
Zip : 85747-9308
Country : US
Telephone Number : 520-663-1961
Fax Number : 520-663-1963
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2009
Last Update Date : 10/07/2009

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Directions to “ SALLIE J HARTNETT R.PH.” Practice Location

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