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NPI Code Detail

MEDICARE: DR. TRICIA LEE PATTERSON PHARM.D.

MEDICARE: DR. TRICIA LEE PATTERSON 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
11835P1200XPharmacotherapy Pharmacist12499AZ

General Provider Information

NPI Number : 1821089855
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TRICIA LEE PATTERSON PHARM.D.
Provider Business Mailing Address
First Line : 8418 E VERNON AVE
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85257-2434
Country : US
Telephone Number : 623-202-4334
Fax Number : 480-981-4588
Provider Business Practice Location Address
First Line : 6644 E BAYWOOD AVE
Second Line : PHARMACY DEPARTMENT
City : MESA
State : AZ
Zip : 85206-1747
Country : US
Telephone Number : 480-981-4349
Fax Number : 480-981-4588
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 07/08/2007

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