NPI 1013312925

East Valley Dermatology Rx, LLC

Organisation Non-Pharmacy Dispensing Site Chandler, AZ

Practice location

Address: 1100 S Dobson Rd #223, Chandler, AZ 85286-6157
Phone: (480) 821-8888
Fax: (480) 821-0888

Authorised official

Name: Jennifer Ann Davis
Title: Office Manager
Phone: (480) 821-8888

Registered specialties (2)

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X

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Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 26816 (AZ)

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Registry record

NPI: 1013312925
Entity type: Organization
NPI issued: 4 Nov 2014
Record last updated: 29 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.