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NPI Code Detail

MEDICARE: MR. DIRK A LEHEW RPH

MEDICARE: MR. DIRK A LEHEW 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
1183500000XPharmacist10497AZ

General Provider Information

NPI Number : 1922140789
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DIRK A LEHEW RPH
Provider Business Mailing Address
First Line : 8303 N LILLY LN
Second Line : HC 32 BOX 2508
City : KINGMAN
State : AZ
Zip : 86409-1475
Country : US
Telephone Number : 928-279-2790
Fax Number :
Provider Business Practice Location Address
First Line : 4823 S HIGHWAY 95
Second Line :
City : FORT MOHAVE
State : AZ
Zip : 86426-8314
Country : US
Telephone Number : 928-704-4443
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 07/08/2007

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