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NPI Code Detail

MEDICARE: DR. IAN PALESE PHARMD

MEDICARE: DR. IAN PALESE 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
1183500000XPharmacistS019909AZ

General Provider Information

NPI Number : 1881017028
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IAN PALESE PHARMD
Provider Business Mailing Address
First Line : 7150 E SPEEDWAY BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85710-1318
Country : US
Telephone Number : 520-722-8669
Fax Number :
Provider Business Practice Location Address
First Line : 7150 E SPEEDWAY BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85710-1318
Country : US
Telephone Number : 520-722-8669
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2014
Last Update Date : 01/23/2014

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Directions to “ DR. IAN PALESE PHARMD” Practice Location

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