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NPI Code Detail

MEDICARE: DR. JOHN WILLIAM SCARBOROUGH PHARMD

MEDICARE: DR. JOHN WILLIAM SCARBOROUGH 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
1183500000XPharmacist18842AL

General Provider Information

NPI Number : 1720464506
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN WILLIAM SCARBOROUGH PHARMD
Provider Business Mailing Address
First Line : 3500 MASTIN LAKE RD NW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35810-2624
Country : US
Telephone Number : 256-851-4188
Fax Number :
Provider Business Practice Location Address
First Line : 3500 MASTIN LAKE RD NW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35810-2624
Country : US
Telephone Number : 256-851-4188
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2015
Last Update Date : 09/13/2020

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