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NPI Code Detail

MEDICARE: DAVID EASON RPH

MEDICARE: DAVID EASON RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistS007154AZ

General Provider Information

NPI Number : 1033498753
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID EASON RPH
Provider Business Mailing Address
First Line : 5750 N 79TH ST
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85250-6102
Country : US
Telephone Number : 480-516-9901
Fax Number :
Provider Business Practice Location Address
First Line : 8301 W CAMELBACK RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85037-1257
Country : US
Telephone Number : 623-849-4278
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2011
Last Update Date : 08/11/2011

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