MEDICARE: DR. CHRISTINE AGUILAR 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
1	183500000X	Pharmacist	S11798	AZ

General Provider Information

NPI Number	:	1871699959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE AGUILAR PHARM.D.

Provider Business Mailing Address
First Line	:	9711 E SHARON DR
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-4497
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4121 E COTTON CENTER BLVD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85040-8849
Country	:	US
Telephone Number	:	602-431-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	07/08/2007

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