Provider Demographics
NPI:1679986053
Name:PALERMO, JOANNE (RPH)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:PALERMO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23215 N PIMA RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-4315
Mailing Address - Country:US
Mailing Address - Phone:480-473-2711
Mailing Address - Fax:480-473-2719
Practice Address - Street 1:23215 N PIMA RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-4315
Practice Address - Country:US
Practice Address - Phone:480-473-2711
Practice Address - Fax:480-473-2719
Is Sole Proprietor?:No
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS12055183500000X
WI12868-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist