Provider Demographics
NPI:1134416076
Name:LEVAREK, HAROLD S (RPH)
Entity type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:S
Last Name:LEVAREK
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 1:16735 E KINGSTREE BLVD
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85268-3730
Mailing Address - Country:US
Mailing Address - Phone:480-361-1079
Mailing Address - Fax:
Practice Address - Street 1:13733 N FOUNTAIN HILLS BLVD
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILLS
Practice Address - State:AZ
Practice Address - Zip Code:85268-3730
Practice Address - Country:US
Practice Address - Phone:480-837-1690
Practice Address - Fax:480-837-4965
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-29
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT5182183500000X
AZS019720183500000X
MAPH16584183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist