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PHOENIX, AZ
NPI1750837852
Entity TypeOrganization
Authorized ContactCHRISTOPHER DEMUTH
Pharmacy Manager
219-680-9172
Organization Subpart ?No
Primary Taxonomy1835G0303X Pharmacist, Geriatric
(Licence: AZ  S016620)
Enumeration Date2016-08-29
Last Update Date2016-08-29
Business Address
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5835 W INDIAN SCHOOL RD
PHOENIX, AZ 85031-2420
Phone number: 623-247-4030
Mailing Address
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5835 W INDIAN SCHOOL RD
PHOENIX, AZ 85031-2420
Phone number: