MEDICARE: ZACHARY WILLIAM STRATTON 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	16040	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	16040	OTHER	AZ	STATE PHARMACIST LICENSE

General Provider Information

NPI Number	:	1609106731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARY WILLIAM STRATTON PHARMD

Provider Business Mailing Address
First Line	:	1138 S HIGLEY RD
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85206-3000
Country	:	US
Telephone Number	:	480-325-3876
Fax Number	:	480-396-0213

Provider Business Practice Location Address
First Line	:	1138 S HIGLEY RD
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85206-3000
Country	:	US
Telephone Number	:	480-325-3876
Fax Number	:	480-396-0213

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

Provider Enumeration Date	:	01/13/2010
Last Update Date	:	01/13/2010

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