Provider Demographics
NPI:1801196969
Name:FIFER, JALEE K (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JALEE
Middle Name:K
Last Name:FIFER
Suffix:
Gender:F
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 1:23565 N SCOTTSDALE RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-3463
Mailing Address - Country:US
Mailing Address - Phone:480-585-9650
Mailing Address - Fax:480-585-8378
Practice Address - Street 1:23565 N SCOTTSDALE RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-3463
Practice Address - Country:US
Practice Address - Phone:480-585-9650
Practice Address - Fax:480-585-8378
Is Sole Proprietor?:No
Enumeration Date:2010-10-23
Last Update Date:2010-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS018078183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist