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NPI Code Detail

MEDICARE: AIMEE MISHLER PHARMD

MEDICARE: AIMEE MISHLER 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
1183500000XPharmacistS019354AZ

General Provider Information

NPI Number : 1760735096
Entity Type Code : Individual
Provider Name (Legal Business Name) : AIMEE MISHLER PHARMD
Provider Business Mailing Address
First Line : 4802 N 12TH ST
Second Line : APT. 1105
City : PHOENIX
State : AZ
Zip : 85014-4051
Country : US
Telephone Number : 219-476-5965
Fax Number :
Provider Business Practice Location Address
First Line : 6690 W UNION HILLS DR
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-1011
Country : US
Telephone Number : 623-561-5319
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2012
Last Update Date : 10/24/2012

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Directions to “ AIMEE MISHLER PHARMD” Practice Location

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