MEDICARE: SHAMINI OZA PHARMD

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
1	183500000X	Pharmacist	S012647	AZ

General Provider Information

NPI Number	:	1053906669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAMINI OZA PHARMD

Provider Business Mailing Address
First Line	:	8585 E SWEETWATER AVE
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-4109
Country	:	US
Telephone Number	:	520-245-0222
Fax Number	:

Provider Business Practice Location Address
First Line	:	8826 N 23RD AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-4154
Country	:	US
Telephone Number	:	602-944-0006
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2021
Last Update Date	:	03/05/2021

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Directions to “ SHAMINI OZA PHARMD” Practice Location

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