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NPI Code Detail

MEDICARE: JOY REESE PHARM.D.

MEDICARE: JOY REESE 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
1183500000XPharmacist15501AZ

General Provider Information

NPI Number : 1710217997
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOY REESE PHARM.D.
Provider Business Mailing Address
First Line : 7752 W LONE CACTUS DR
Second Line :
City : PEORIA
State : AZ
Zip : 85382-3314
Country : US
Telephone Number : 623-229-7566
Fax Number :
Provider Business Practice Location Address
First Line : 3450 W DUNLAP AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85051-5302
Country : US
Telephone Number : 602-973-0971
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2010
Last Update Date : 01/11/2010

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