MEDICARE: JULIE FAYE HOUSE 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
1	3336C0003X	Community/Retail Pharmacy	S008547	AZ

General Provider Information

NPI Number	:	1881107696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE FAYE HOUSE RPH

Provider Business Mailing Address
First Line	:	2655 E BROWN ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85028-4314
Country	:	US
Telephone Number	:	602-799-6331
Fax Number	:

Provider Business Practice Location Address
First Line	:	2655 E BROWN ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85028-4314
Country	:	US
Telephone Number	:	602-799-6331
Fax Number	:

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

Provider Enumeration Date	:	11/15/2017
Last Update Date	:	11/15/2017

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Directions to “ JULIE FAYE HOUSE RPH” Practice Location

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