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NPI Code Detail

MEDICARE: NATHAN DAVID COONS PHARM D.

MEDICARE: NATHAN DAVID COONS 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
1183500000XPharmacistS016647AZ

General Provider Information

NPI Number : 1306171491
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN DAVID COONS PHARM D.
Provider Business Mailing Address
First Line : 9043 W OLIVE AVE
Second Line :
City : PEORIA
State : AZ
Zip : 85345-7049
Country : US
Telephone Number : 623-979-1383
Fax Number : 623-979-8167
Provider Business Practice Location Address
First Line : 9043 W OLIVE AVE
Second Line :
City : PEORIA
State : AZ
Zip : 85345-7049
Country : US
Telephone Number : 623-979-1383
Fax Number : 623-979-8167
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2009
Last Update Date : 10/08/2009

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Directions to “ NATHAN DAVID COONS PHARM D.” Practice Location

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