Basic Information
| Provider Information | |||||||||
| NPI: | 1427477942 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PAAT | ||||||||
| FirstName: | MA.CECILIA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 21201 E OCOTILLO RD | ||||||||
| Address2: | |||||||||
| City: | QUEEN CREEK | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 851429339 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4809871615 | ||||||||
| FaxNumber: | 4809870211 | ||||||||
| Practice Location | |||||||||
| Address1: | 21210 E OCOTILLO RD | ||||||||
| Address2: | |||||||||
| City: | QUEEN CREEK | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 85142 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4809871615 | ||||||||
| FaxNumber: | 4809870211 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/11/2014 | ||||||||
| LastUpdateDate: | 04/12/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | S014577 | AZ | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.