Provider Demographics
NPI:1093022840
Name:HUNT, LANCE TONY (PHARM D)
Entity type:Individual
Prefix:DR
First Name:LANCE
Middle Name:TONY
Last Name:HUNT
Suffix:
Gender:M
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 1:16831 N 58TH ST
Mailing Address - Street 2:#223
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-9227
Mailing Address - Country:US
Mailing Address - Phone:801-597-1681
Mailing Address - Fax:
Practice Address - Street 1:6690 W UNION HILLS DR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-1011
Practice Address - Country:US
Practice Address - Phone:623-561-5319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS018095183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist