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NPI Code Detail

MEDICARE: MR. DANIEL PATRICK BOYLE R.PH.

MEDICARE: MR. DANIEL PATRICK BOYLE R.PH.
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPR4516ME
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistS021245AZ

General Provider Information

NPI Number : 1114928314
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANIEL PATRICK BOYLE R.PH.
Provider Business Mailing Address
First Line : 1518 E SAINT CATHERINE AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85042-4476
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 650 E INDIAN SCHOOL RD DEPT OF
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-1839
Country : US
Telephone Number : 602-277-5551
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 03/18/2020

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