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NPI Code Detail

MEDICARE: BRIANNE MICHELLE VOGT-ROBERTS PHARM.D.

MEDICARE: BRIANNE MICHELLE VOGT-ROBERTS PHARM.D.
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
1183500000XPharmacistS017525AZ

General Provider Information

NPI Number : 1629308721
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANNE MICHELLE VOGT-ROBERTS PHARM.D.
Provider Business Mailing Address
First Line : 5901 W BEHREND DR
Second Line : APT 2091
City : GLENDALE
State : AZ
Zip : 85308-6943
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2415 E UNION HILLS DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85050-3146
Country : US
Telephone Number : 602-867-0561
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2010
Last Update Date : 01/12/2010

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