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NPI Code Detail

MEDICARE: HANNEKE ERASMUS

MEDICARE: HANNEKE ERASMUS
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
1183500000XPharmacistS018217AZ

General Provider Information

NPI Number : 1285994061
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNEKE ERASMUS
Provider Business Mailing Address
First Line : 3130 W CAREFREE HWY
Second Line :
City : PHOENIX
State : AZ
Zip : 85086-3200
Country : US
Telephone Number : 623-582-2743
Fax Number :
Provider Business Practice Location Address
First Line : 3130 W CAREFREE HWY
Second Line :
City : PHOENIX
State : AZ
Zip : 85086-3200
Country : US
Telephone Number : 623-582-2743
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2012
Last Update Date : 05/25/2012

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Directions to “ HANNEKE ERASMUS ” Practice Location

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