KISA KISAKYE

PEORIA, AZ
NPI1821758269
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1835P1200X Pharmacist, Pharmacotherapy
(Licence: AZ  S014292)
Enumeration Date2021-12-27
Last Update Date2021-12-27
Business Address
KISA KISAKYE
10727 W OLIVE AVE
PEORIA, AZ 85345-9202
Phone number: 623-815-8074
Mailing Address
KISA KISAKYE
4530 W MCLELLAN RD
GLENDALE, AZ 85301-4211
Phone number: