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General NPI Number Information
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NPI Number | 1659478493
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Entity Type | Organization
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Legal Business Name | SCOTTSDALE PROFESSIONAL PHARMACY LTD
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/29/2022
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Provider Practice Location Address
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Address Line | 10900 N SCOTTSDALE RD SUITE 403
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-5216
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Country | US
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Telephone | 480-946-9477
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Fax | 480-946-1345
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Provider Business Mailing Address
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Address Line | 10900 N SCOTTSDALE RD STE 403 10900 N SCOTTSDALE RD STE 403
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-5218
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Country | US
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Telephone | 480-946-9477
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Fax | 480-946-1345
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. SARAH KATHRYN SIMMERS
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Credential | PHARMD
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Telephone | 480-946-9477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | Y001231
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License Number State | AZ
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