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NPI Code Detail

MEDICARE: MICHELLE TAMER

MEDICARE:   MICHELLE  TAMER
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
1183500000XPharmacistS019901AZ

General Provider Information

NPI Number : 1669899936
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE TAMER
Provider Business Mailing Address
First Line : 9152 E BROWN RD
Second Line :
City : MESA
State : AZ
Zip : 85207-4339
Country : US
Telephone Number : 480-357-4833
Fax Number : 480-357-4894
Provider Business Practice Location Address
First Line : 9152 E BROWN RD
Second Line :
City : MESA
State : AZ
Zip : 85207-4339
Country : US
Telephone Number : 480-357-4833
Fax Number : 480-357-4894
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2014
Last Update Date : 03/25/2014

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Directions to “ MICHELLE TAMER ” Practice Location

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