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NPI Code Detail

MEDICARE: MRS. MARIE CELESTE HEMMILA R.PH.

MEDICARE:  MRS. MARIE CELESTE HEMMILA  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
1183500000XPharmacist8840AZ

General Provider Information

NPI Number : 1396056263
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIE CELESTE HEMMILA R.PH.
Provider Business Mailing Address
First Line : 441 S 132ND ST
Second Line :
City : CHANDLER
State : AZ
Zip : 85225-2836
Country : US
Telephone Number : 520-360-6025
Fax Number :
Provider Business Practice Location Address
First Line : 9900 S RURAL RD
Second Line :
City : TEMPE
State : AZ
Zip : 85284-4116
Country : US
Telephone Number : 480-783-6233
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2010
Last Update Date : 06/25/2010

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Directions to “ MRS. MARIE CELESTE HEMMILA R.PH.” Practice Location

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