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NPI Code Detail

MEDICARE: DOROTHY DAY

MEDICARE: DOROTHY DAY
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
1183500000XPharmacistS09936AZ

General Provider Information

NPI Number : 1598096554
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOROTHY DAY
Provider Business Mailing Address
First Line : 8301 W CAMELBACK RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85037-1257
Country : US
Telephone Number : 623-849-4278
Fax Number :
Provider Business Practice Location Address
First Line : 8301 W CAMELBACK RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85037-1257
Country : US
Telephone Number : 623-849-4278
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2010
Last Update Date : 01/14/2010

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Directions to “ DOROTHY DAY ” Practice Location

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