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NPI Code Detail

MEDICARE: ZACHARY CHARLES HENDRICKSON

MEDICARE:   ZACHARY CHARLES HENDRICKSON
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
1183500000XPharmacistS018697AZ

General Provider Information

NPI Number : 1033552211
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY CHARLES HENDRICKSON
Provider Business Mailing Address
First Line : 2140 E BASELINE RD
Second Line : T-1905
City : PHOENIX
State : AZ
Zip : 85042-6910
Country : US
Telephone Number : 602-281-1120
Fax Number : 602-282-0754
Provider Business Practice Location Address
First Line : 2140 E BASELINE RD
Second Line : T-1905
City : PHOENIX
State : AZ
Zip : 85042-6910
Country : US
Telephone Number : 602-281-1120
Fax Number : 602-282-0754
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2013
Last Update Date : 04/08/2013

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Directions to “ ZACHARY CHARLES HENDRICKSON ” Practice Location

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