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NPI Code Detail

MEDICARE: DR. LANCE TONY HUNT PHARM D

MEDICARE: DR. LANCE TONY HUNT PHARM D
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
1183500000XPharmacistS018095AZ

General Provider Information

NPI Number : 1093022840
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LANCE TONY HUNT PHARM D
Provider Business Mailing Address
First Line : 16831 N 58TH ST
Second Line : #223
City : SCOTTSDALE
State : AZ
Zip : 85254-9227
Country : US
Telephone Number : 801-597-1681
Fax Number :
Provider Business Practice Location Address
First Line : 6690 W UNION HILLS DR
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-1011
Country : US
Telephone Number : 623-561-5319
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2010
Last Update Date : 08/31/2010

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