Provider Demographics
NPI:1861082935
Name:DOURIS, FRANCIS XAVIER (PHARM D)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:XAVIER
Last Name:DOURIS
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 1:5555 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-2584
Mailing Address - Country:US
Mailing Address - Phone:602-277-6133
Mailing Address - Fax:602-277-6136
Practice Address - Street 1:5555 N 7TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-2584
Practice Address - Country:US
Practice Address - Phone:602-277-6133
Practice Address - Fax:602-277-6136
Is Sole Proprietor?:No
Enumeration Date:2021-01-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ14258183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist