Provider Demographics
NPI:1568168391
Name:TEMPLETON, JOHN ROBERT (RPH)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:ROBERT
Last Name:TEMPLETON
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17853 N 49TH DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-1415
Mailing Address - Country:US
Mailing Address - Phone:602-459-0552
Mailing Address - Fax:
Practice Address - Street 1:2800 W DOVE VALLEY RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85085-5246
Practice Address - Country:US
Practice Address - Phone:480-994-6235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-02
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS026310183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist