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NPI Code Detail

MEDICARE: JOEL SALAZAR JR.

MEDICARE: JOEL SALAZAR JR.
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
1183500000XPharmacistS026198AZ

General Provider Information

NPI Number : 1932817848
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOEL SALAZAR JR.
Provider Business Mailing Address
First Line : 205 N STUART BLVD
Second Line :
City : ELOY
State : AZ
Zip : 85131-2507
Country : US
Telephone Number : 520-381-0355
Fax Number :
Provider Business Practice Location Address
First Line : 205 N STUART BLVD
Second Line :
City : ELOY
State : AZ
Zip : 85131-2507
Country : US
Telephone Number : 520-381-0355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2022
Last Update Date : 11/09/2022

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