MEDICARE: ELIZABETH ANNE GENTON PHARMD

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
1	183500000X	Pharmacist	26594	TN
2	183500000X	Pharmacist	S026273	AZ

General Provider Information

NPI Number	:	1356635742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ANNE GENTON PHARMD

Provider Business Mailing Address
First Line	:	7373 N SCOTTSDALE RD STE B160
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85253-3537
Country	:	US
Telephone Number	:	602-898-5450
Fax Number	:	602-898-5450

Provider Business Practice Location Address
First Line	:	7373 N SCOTTSDALE RD STE B160
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85253-3537
Country	:	US
Telephone Number	:	602-898-5450
Fax Number	:	602-898-5450

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2011
Last Update Date	:	04/28/2025

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