Provider Demographics
NPI:1326574849
Name:DURFEE, DALLIN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:DALLIN
Middle Name:
Last Name:DURFEE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 W AERO DR
Mailing Address - Street 2:
Mailing Address - City:PAYSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85541-5407
Mailing Address - Country:US
Mailing Address - Phone:928-238-3024
Mailing Address - Fax:982-468-6703
Practice Address - Street 1:404 W AERO DR
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:AZ
Practice Address - Zip Code:85541-5407
Practice Address - Country:US
Practice Address - Phone:928-238-3024
Practice Address - Fax:982-468-6703
Is Sole Proprietor?:No
Enumeration Date:2017-05-03
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS016173183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist