MEDICARE: DR. AMY ZARICK-JONES 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
1	183500000X	Pharmacist	RP00008178	NM

General Provider Information

NPI Number	:	1992113559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY ZARICK-JONES PHARMD

Provider Business Mailing Address
First Line	:	2422 TREVISO DR SE
Second Line	:
City	:	RIO RANCHO
State	:	NM
Zip	:	87124-8942
Country	:	US
Telephone Number	:	505-363-2864
Fax Number	:

Provider Business Practice Location Address
First Line	:	10224 COORS BYP NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87114-4398
Country	:	US
Telephone Number	:	505-897-6935
Fax Number	:

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

Provider Enumeration Date	:	07/28/2014
Last Update Date	:	07/28/2014

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