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NPI Code Detail

MEDICARE: CAMILLE HARRIDAY RPH

MEDICARE: CAMILLE HARRIDAY RPH
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
1183500000XPharmacistS015998AZ

General Provider Information

NPI Number : 1770996852
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMILLE HARRIDAY RPH
Provider Business Mailing Address
First Line : 2840 N DYSART RD
Second Line :
City : GOODYEAR
State : AZ
Zip : 85395-2338
Country : US
Telephone Number : 623-536-5310
Fax Number : 623-536-5315
Provider Business Practice Location Address
First Line : 2840 N DYSART RD
Second Line :
City : GOODYEAR
State : AZ
Zip : 85395-2338
Country : US
Telephone Number : 623-536-5310
Fax Number : 623-536-5315
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2014
Last Update Date : 06/06/2014

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Directions to “ CAMILLE HARRIDAY RPH” Practice Location

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