MEDICARE: JOHN ROBERT TEMPLETON RPH

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	S026310	AZ

General Provider Information

NPI Number	:	1568168391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN ROBERT TEMPLETON RPH

Provider Business Mailing Address
First Line	:	17853 N 49TH DR
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85308-1415
Country	:	US
Telephone Number	:	602-459-0552
Fax Number	:

Provider Business Practice Location Address
First Line	:	2800 W DOVE VALLEY RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85085-5246
Country	:	US
Telephone Number	:	480-994-6235
Fax Number	:

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

Provider Enumeration Date	:	02/02/2023
Last Update Date	:	02/02/2023

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