MEDICARE: VALERIE A SILVAS 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	S012636	AZ

General Provider Information

NPI Number	:	1619278843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE A SILVAS PHARM D

Provider Business Mailing Address
First Line	:	3990 STOCKTON HILL RD
Second Line	:	F-271
City	:	KINGMAN
State	:	AZ
Zip	:	86409-3024
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4823 SOUTH HWY 95
Second Line	:	PHARMACY
City	:	FT. MOHAVE
State	:	AZ
Zip	:	86427
Country	:	US
Telephone Number	:	928-704-4443
Fax Number	:	928-704-1684

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

Provider Enumeration Date	:	11/04/2010
Last Update Date	:	11/04/2010

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Directions to “ VALERIE A SILVAS PHARM D” Practice Location

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