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NPI Code Detail

MEDICARE: DON Q LE PHARMD

MEDICARE:   DON Q LE  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
1183500000XPharmacistS022907AZ

General Provider Information

NPI Number : 1609380583
Entity Type Code : Individual
Provider Name (Legal Business Name) : DON Q LE PHARMD
Provider Business Mailing Address
First Line : 1008 N WREN DR
Second Line :
City : GILBERT
State : AZ
Zip : 85234-7464
Country : US
Telephone Number : 480-577-6650
Fax Number :
Provider Business Practice Location Address
First Line : 201 N SWITZER CANYON DR
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86001-4836
Country : US
Telephone Number : 928-774-3389
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2017
Last Update Date : 11/30/2017

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Directions to “ DON Q LE PHARMD” Practice Location

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