MEDICARE: MRS. SHELLEY TODD STRICKLAND 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	S019977	AZ

General Provider Information

NPI Number	:	1598197329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHELLEY TODD STRICKLAND PHARMD

Provider Business Mailing Address
First Line	:	3500 N HAYDEN RD APT 309
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-4702
Country	:	US
Telephone Number	:	678-523-8630
Fax Number	:

Provider Business Practice Location Address
First Line	:	3500 N HAYDEN RD APT 309
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-4702
Country	:	US
Telephone Number	:	678-523-8630
Fax Number	:

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

Provider Enumeration Date	:	08/02/2013
Last Update Date	:	08/02/2013

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