Healthcare Provider Details

I. General information

NPI: 1457579070
Provider Name (Legal Business Name): DAVID W. ALLBRITTON RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13400 EAST SHEA BLVD MAYO CLINIC ONCOLOGY PHARMACY
SCOTTSDALE AZ
85259
US

IV. Provider business mailing address

33255 N 72ND PL
SCOTTSDALE AZ
85262-4264
US

V. Phone/Fax

Practice location:
  • Phone: 480-301-7650
  • Fax: 480-301-9008
Mailing address:
  • Phone: 480-488-5834
  • Fax: 480-301-9008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number4752
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: