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NPI Code Detail

MEDICARE: JANON PIERSON

MEDICARE: JANON PIERSON
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
1183500000XPharmacistS013696AZ

General Provider Information

NPI Number : 1811620263
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANON PIERSON
Provider Business Mailing Address
First Line : 6002 N 7TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-1801
Country : US
Telephone Number : 623-332-7571
Fax Number :
Provider Business Practice Location Address
First Line : 6002 N 7TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-1801
Country : US
Telephone Number : 623-332-7571
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2022
Last Update Date : 07/05/2022

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Directions to “ JANON PIERSON ” Practice Location

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