MEDICARE: DR. CHIRAG JAVIA 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	183500000X	Pharmacist	S019287	AZ

General Provider Information

NPI Number	:	1467702068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHIRAG JAVIA PHARM D.

Provider Business Mailing Address
First Line	:	10155 W AVENIDA DEL REY
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85383-1430
Country	:	US
Telephone Number	:	602-300-2022
Fax Number	:

Provider Business Practice Location Address
First Line	:	7910 W THOMAS RD STE 110
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85033-4830
Country	:	US
Telephone Number	:	623-401-4044
Fax Number	:

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

Provider Enumeration Date	:	09/12/2012
Last Update Date	:	06/09/2021

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