MEDICARE: PAMELA SPERL 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
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	051040030	IL

General Provider Information

NPI Number	:	1437975133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA SPERL PHARM.D.

Provider Business Mailing Address
First Line	:	2697 E TAURUS PL
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85249-3786
Country	:	US
Telephone Number	:	847-204-3072
Fax Number	:

Provider Business Practice Location Address
First Line	:	2697 E TAURUS PL
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85249-3786
Country	:	US
Telephone Number	:	847-204-3072
Fax Number	:

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

Provider Enumeration Date	:	11/26/2024
Last Update Date	:	11/26/2024

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