=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730639675
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FENGYEE ZHOU
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/04/2016
-----------------------------------------------------
Last Update Date | 10/04/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 200 W HOSPITAL DRIVE
-----------------------------------------------------
City | WHITERIVER
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85941
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 928-338-4911
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 200 W HOSITAL DRIVE
-----------------------------------------------------
City | WHITERIVER
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85941
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 26026548A
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------