Provider Demographics
NPI:1003904426
Name:KIRKLYS, ANDREW E (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:E
Last Name:KIRKLYS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14434 N PRICKLY PEAR CT
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85268-3165
Mailing Address - Country:US
Mailing Address - Phone:480-837-6437
Mailing Address - Fax:
Practice Address - Street 1:9501 E SHEA BLVD
Practice Address - Street 2:M/C 109
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6719
Practice Address - Country:US
Practice Address - Phone:480-627-0782
Practice Address - Fax:480-661-4674
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ12650183500000X
CA47436183500000X
FLPS30231183500000X
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist