DUSTIN ANTHONY DEDECKER

PHOENIX, AZ
NPI1720504368
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: AZ  S022750)
Enumeration Date2017-08-15
Last Update Date2017-08-15
Business Address
DUSTIN ANTHONY DEDECKER Rph
3933 E CAMELBACK RD
PHOENIX, AZ 85018-2609
Phone number: 602-956-2494
Mailing Address
DUSTIN ANTHONY DEDECKER Rph
19318 N 62ND DR
GLENDALE, AZ 85308-7660
Phone number: