Provider Demographics
NPI:1174846505
Name:TATE, CHELSEY HUNTER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHELSEY
Middle Name:HUNTER
Last Name:TATE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:CHELSEY
Other - Middle Name:J
Other - Last Name:HUNTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:615 S RIVER DR
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-0252
Mailing Address - Country:US
Mailing Address - Phone:480-748-6064
Mailing Address - Fax:
Practice Address - Street 1:615 S RIVER DR
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281-0252
Practice Address - Country:US
Practice Address - Phone:480-748-6064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-12
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN026934183500000X
ARPD11272183500000X
MO2012009322183500000X
FLPS50931183500000X
AZS020146183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN026934OtherLICENSED/REGISTERED PHARMACIST
AZS020146OtherLICENSED/REGISTERED PHARMACIST