Provider Demographics
NPI:1245402205
Name:DY, AMY DELL (BS RPH)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:DELL
Last Name:DY
Suffix:
Gender:F
Credentials:BS RPH
Other - Prefix:MS
Other - First Name:AMY
Other - Middle Name:DELL
Other - Last Name:HARBOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS RPN
Mailing Address - Street 1:650 E INDIAN SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-1839
Mailing Address - Country:US
Mailing Address - Phone:602-277-5551
Mailing Address - Fax:602-222-2651
Practice Address - Street 1:650 E INDIAN SCHOOL RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-1839
Practice Address - Country:US
Practice Address - Phone:602-277-5551
Practice Address - Fax:602-222-2651
Is Sole Proprietor?:No
Enumeration Date:2008-03-31
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ12196183500000X
MN115849183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist