Provider Demographics
NPI:1235673682
Name:SEMONCHE, PETER DONALD (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:DONALD
Last Name:SEMONCHE
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 1:1060 E RAY RD
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-1542
Mailing Address - Country:US
Mailing Address - Phone:480-855-9922
Mailing Address - Fax:480-855-9996
Practice Address - Street 1:1060 E RAY RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-1542
Practice Address - Country:US
Practice Address - Phone:480-855-9922
Practice Address - Fax:480-855-9996
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-05
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS022284183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist