MEDICARE: MS. AMANDA JOY MUIR 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
1	183500000X	Pharmacist	S018161	AZ

General Provider Information

NPI Number	:	1508174491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMANDA JOY MUIR PHARMD

Provider Business Mailing Address
First Line	:	10101 E SHANGRI LA RD
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-6302
Country	:	US
Telephone Number	:	605-261-7709
Fax Number	:

Provider Business Practice Location Address
First Line	:	1138 S HIGLEY RD
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85206-3000
Country	:	US
Telephone Number	:	480-325-3876
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2010
Last Update Date	:	09/14/2010

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