ROMAN ESTRADA

PRESCOTT, AZ
NPI1396072302
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: AZ  10878)
Enumeration Date2009-11-11
Last Update Date2009-11-11
Business Address
-- ROMAN ESTRADA
3911 E STATE ROUTE 69
PRESCOTT, AZ 86301-6717
Phone number: 928-541-2218
Mailing Address
-- ROMAN ESTRADA
3911 E STATE ROUTE 69
PRESCOTT, AZ 86301-6717
Phone number: 928-541-2218
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