MEDICARE: DR. REGINA LOUISE NUNLEY-SMITH 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
1	183500000X	Pharmacist	051-292470	IL
2	183500000X	Pharmacist	S016087	AZ

General Provider Information

NPI Number	:	1720318017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REGINA LOUISE NUNLEY-SMITH PHARM D

Provider Business Mailing Address
First Line	:	2243 E GRANITE VIEW DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85048-4317
Country	:	US
Telephone Number	:	520-990-8552
Fax Number	:

Provider Business Practice Location Address
First Line	:	2243 E GRANITE VIEW DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85048-4317
Country	:	US
Telephone Number	:	520-990-8552
Fax Number	:

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

Provider Enumeration Date	:	01/08/2010
Last Update Date	:	06/17/2024

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