Provider Demographics
NPI:1184778664
Name:OBERFIELD, WAYNE FREDERICK (RPH)
Entity type:Individual
Prefix:MR
First Name:WAYNE
Middle Name:FREDERICK
Last Name:OBERFIELD
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:PO BOX 25991
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-0116
Mailing Address - Country:US
Mailing Address - Phone:480-201-1275
Mailing Address - Fax:413-622-0654
Practice Address - Street 1:9185 E PIMA CENTER PKWY STE 200
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4646
Practice Address - Country:US
Practice Address - Phone:855-847-3553
Practice Address - Fax:855-847-3558
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36033183500000X
FLPS 27719183500000X
AZ10090183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist