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NPI Code Detail

MEDICARE: KIMBERLY MICHELLE EDINGTON RPH

MEDICARE:   KIMBERLY MICHELLE EDINGTON  RPH
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
1183500000XPharmacist10330AZ

General Provider Information

NPI Number : 1851621072
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY MICHELLE EDINGTON RPH
Provider Business Mailing Address
First Line : 5011 W UNION HILLS DR
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-1441
Country : US
Telephone Number : 602-896-0257
Fax Number : 602-564-0271
Provider Business Practice Location Address
First Line : 5011 W UNION HILLS DR
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-1441
Country : US
Telephone Number : 602-896-0257
Fax Number : 602-564-0271
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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Directions to “ KIMBERLY MICHELLE EDINGTON RPH” Practice Location

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