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NPI Code Detail

MEDICARE: ZACHARY DORWORTH PHARMD

MEDICARE:   ZACHARY  DORWORTH  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
1183500000XPharmacistS022656AZ

General Provider Information

NPI Number : 1629621099
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY DORWORTH PHARMD
Provider Business Mailing Address
First Line : 9240 E REDFIELD RD APT 323
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85260-3708
Country : US
Telephone Number : 513-748-9460
Fax Number :
Provider Business Practice Location Address
First Line : 1646 W MONTEBELLO AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85015-2557
Country : US
Telephone Number : 602-293-4523
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2019
Last Update Date : 07/24/2019

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Directions to “ ZACHARY DORWORTH PHARMD” Practice Location

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