EDIAN BANUELOS

PHOENIX, AZ
NPI1700402203
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: AZ  S026904)
Enumeration Date2020-06-19
Last Update Date2024-12-24
Business Address
EDIAN BANUELOS
2435 E BASELINE RD
PHOENIX, AZ 85042-7004
Phone number: 602-232-2982
Mailing Address
EDIAN BANUELOS
2435 E BASELINE RD
PHOENIX, AZ 85042-7004
Phone number: 602-232-2982
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