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NPI Code Detail

MEDICARE: MS. ALANA M PODWIKA R.PH MBA

MEDICARE: MS. ALANA M PODWIKA R.PH MBA
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
1183500000XPharmacist113981AZ

General Provider Information

NPI Number : 1114903986
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALANA M PODWIKA R.PH MBA
Provider Business Mailing Address
First Line : 2702 NORTH 3RD STREET
Second Line : SUITE 4020
City : PHOENIX
State : AZ
Zip : 85004-4608
Country : US
Telephone Number : 602-323-3344
Fax Number : 602-323-3496
Provider Business Practice Location Address
First Line : 635 EAST BASELINE ROAD
Second Line :
City : PHOENIX
State : AZ
Zip : 85042-6551
Country : US
Telephone Number : 602-243-7277
Fax Number : 602-305-8590
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 12/21/2011

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