Healthcare Provider Details

I. General information

NPI: 1700255494
Provider Name (Legal Business Name): RICHARD ENGLAND III PHARM D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2015
Last Update Date: 09/03/2020
Certification Date: 09/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 E COVEY LN
PHOENIX AZ
85024-5674
US

IV. Provider business mailing address

20125 N. 8TH WAY
PHOENIX AZ
85024
US

V. Phone/Fax

Practice location:
  • Phone: 623-815-8965
  • Fax: 623-815-1222
Mailing address:
  • Phone: 623-815-8965
  • Fax: 623-815-1222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS017353
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: