Healthcare Provider Details

I. General information

NPI: 1215840004
Provider Name (Legal Business Name): RAYMOND M BARONE PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 N 83RD AVE STE 200
TOLLESON AZ
85353-2326
US

IV. Provider business mailing address

610 E BELL RD STE 2-102
PHOENIX AZ
85022-2347
US

V. Phone/Fax

Practice location:
  • Phone: 602-308-3900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS013755
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: