MEDICARE: CHAWNTEL MARIE HUNT 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	PH234361	MA
2	183500000X	Pharmacist	S025026	AZ

General Provider Information

NPI Number	:	1568040285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHAWNTEL MARIE HUNT PHARMD

Provider Business Mailing Address
First Line	:	4821 E WINGED FOOT PL
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-1727
Country	:	US
Telephone Number	:	508-963-8217
Fax Number	:

Provider Business Practice Location Address
First Line	:	9300 S WILMOT RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85756-9706
Country	:	US
Telephone Number	:	520-663-5000
Fax Number	:

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

Provider Enumeration Date	:	04/01/2021
Last Update Date	:	04/01/2021

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