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1366065369
COURTNEY FAVAZZO
SURPRISE, AZ
NPI
1366065369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ S026528)
Additional Taxonomies
183700000X Pharmacy Technician
Enumeration Date
2020-05-26
Last Update Date
2023-08-01
Business Address
COURTNEY FAVAZZO
23704 N 160TH CT
SURPRISE, AZ 85387-1672
Phone number: 440-836-2021
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Mailing Address
COURTNEY FAVAZZO
23704 N 160TH CT
SURPRISE, AZ 85387-1672
Phone number: 440-836-2021
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