MEDICARE: HUNTER EARLE PAYNE 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	90422	CA

General Provider Information

NPI Number	:	1760293401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUNTER EARLE PAYNE PHARMD

Provider Business Mailing Address
First Line	:	11600 SAN PABLO AVE APT 628
Second Line	:
City	:	EL CERRITO
State	:	CA
Zip	:	94530-1892
Country	:	US
Telephone Number	:	951-218-0454
Fax Number	:

Provider Business Practice Location Address
First Line	:	6045 GIANT RD
Second Line	:
City	:	RICHMOND
State	:	CA
Zip	:	94806-2388
Country	:	US
Telephone Number	:	951-218-0454
Fax Number	:

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

Provider Enumeration Date	:	01/14/2025
Last Update Date	:	01/14/2025

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Directions to “ HUNTER EARLE PAYNE PHARMD” Practice Location

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