IDA-LINA DIAK

FORT DEFIANCE, AZ
NPI1831221779
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1835P1200X Pharmacist, Pharmacotherapy
(Licence: AZ  13512)
Enumeration Date2007-03-09
Last Update Date2007-07-08
Business Address
Dr. IDA-LINA DIAK PHARM.D.
INTERSECTION HIGHWAYS N 12 AND N 7
FORT DEFIANCE, AZ 86504
Phone number: 928-729-3377
Mailing Address
Dr. IDA-LINA DIAK PHARM.D.
1512 FAIRWAY CIR
GALLUP, NM 87301-4937
Phone number:
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