Provider Demographics
NPI:1619645199
Name:SION, PAUL W (RPH)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:W
Last Name:SION
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 1:2225 W FRYE RD APT 2115
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-6497
Mailing Address - Country:US
Mailing Address - Phone:602-697-5271
Mailing Address - Fax:
Practice Address - Street 1:2140 E BASELINE RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85042-6910
Practice Address - Country:US
Practice Address - Phone:602-281-1120
Practice Address - Fax:602-282-0754
Is Sole Proprietor?:No
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS025349183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist