Ian Ivancic is a Pharmacist based in Phoenix, AZ. Ian Ivancic practices in Phoenix, AZ. The NPI Number for Ian Ivancic is 1447668488 and holds a License No. S020664 (Arizona).
The current practice location address for Ian Ivancic is 1620 N 59Th Ave, Phoenix, AZ and can be reached out via phone at 623-849-2092.
Location: 1620 N 59Th Ave, Phoenix, AZ, 85035-4985
Provider Profile Details
NPI Number
1447668488
Provider Name
Ian Ivancic
Credential
Provider Entity Type
Individual
Gender
Male
Address
1620 N 59Th Ave, Phoenix, AZ, 85035-4985
Phone Number
623-849-2092
Fax Number
Provider Enumeration Date
07/22/2014
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S020664 | 01 | AZ | PHARMACIST LICENSE |
Provider Business Practice Location Address Details
Address
1620 N 59Th Ave
City
State
Zip
85035-4985
Phone Number
623-849-2092
Fax Number
Provider Business Mailing Address Details
Address
1620 N 59Th Ave
City
State
Zip
85035-4985
Phone Number
623-849-2092
Fax Number
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
License No.
S020664 (Arizona)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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