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NPI Code Detail

MEDICARE: DR. JALEE K FIFER PHARM D

MEDICARE: DR. JALEE K FIFER 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
1183500000XPharmacistS018078AZ

General Provider Information

NPI Number : 1801196969
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JALEE K FIFER PHARM D
Provider Business Mailing Address
First Line : 23565 N SCOTTSDALE RD
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85255-3463
Country : US
Telephone Number : 480-585-9650
Fax Number : 480-585-8378
Provider Business Practice Location Address
First Line : 23565 N SCOTTSDALE RD
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85255-3463
Country : US
Telephone Number : 480-585-9650
Fax Number : 480-585-8378
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2010
Last Update Date : 10/23/2010

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