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General NPI Number Information
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NPI Number | 1538732730
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Entity Type | Organization
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Legal Business Name | ARROWHEAD PHARMACY
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Dates
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Enumeration Date | 07/23/2021
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Last Update Date | 07/23/2021
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Provider Practice Location Address
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Address Line | 5625 W BELL RD STE 200A
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City | GLENDALE
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State | AZ
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Zip | 85308-3878
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Country | US
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Telephone | 623-680-2157
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Fax |
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Provider Business Mailing Address
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Address Line | 5625 W BELL RD STE 200A
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City | GLENDALE
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State | AZ
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Zip | 85308-3878
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Country | US
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Telephone | 623-680-2157
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Fax |
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Authorized Official
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Title or Position | PIC
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Name | TARAN GOODBALLET
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Credential | PHARMD
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Telephone | 623-680-2157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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