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NPI Code Detail

MEDICARE: SPENCER HORNBARGER PHARMD

MEDICARE: SPENCER HORNBARGER 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
1183500000XPharmacistS020634AZ

General Provider Information

NPI Number : 1063820868
Entity Type Code : Individual
Provider Name (Legal Business Name) : SPENCER HORNBARGER PHARMD
Provider Business Mailing Address
First Line : 9152 E BROWN RD
Second Line :
City : MESA
State : AZ
Zip : 85207-4339
Country : US
Telephone Number : 480-357-4833
Fax Number :
Provider Business Practice Location Address
First Line : 9152 E BROWN RD
Second Line :
City : MESA
State : AZ
Zip : 85207-4339
Country : US
Telephone Number : 480-357-4833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2014
Last Update Date : 07/25/2014

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Directions to “ SPENCER HORNBARGER PHARMD” Practice Location

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