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EAST VALLEY DERMATOLOGY RX LLC NPI 1013312925


NPI Information

NPI: 1013312925
Provider Name: EAST VALLEY DERMATOLOGY RX, LLC
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
1100 S DOBSON RD
#223
CHANDLER, AZ
ZIP 85286
Phone: (480) 821-8888
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EAST VALLEY DERMATOLOGY RX, LLC is a non pharmacy dispensing site in Chandler, AZ. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) EAST VALLEY DERMATOLOGY RX, LLC NPI is 1013312925. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1100 S DOBSON RD
#223
CHANDLER, AZ
ZIP 85286-157
Phone: (480) 821-8888
Fax: (480) 821-0888

The provider's authorized official is Jennifer Ann Davis .
The authorized official title is Office Manager and has the following contact phone number (480) 821-8888.

The enumeration date for this NPI number is 11/4/2014 and was last updated on 10/29/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatology26816ARIZONANo
2332900000XNon-Pharmacy Dispensing SiteYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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