Basic Information
| Provider Information | |||||||||
| NPI: | 1487870267 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COUNTS | ||||||||
| FirstName: | STEPHANIE | ||||||||
| MiddleName: | JANENE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PHARMD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 51 W 3RD ST | ||||||||
| Address2: | STE 501 | ||||||||
| City: | TEMPE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852812831 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8778827820 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 51 W 3RD ST | ||||||||
| Address2: | STE 501 | ||||||||
| City: | TEMPE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852812831 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8778827820 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/18/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 11068 | AZ | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.