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1851815005
BOULES TAKLA
PEORIA, AZ
NPI
1851815005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ s107305)
Enumeration Date
2017-07-31
Last Update Date
2022-07-21
Business Address
BOULES TAKLA rph
7530 W CACTUS RD
PEORIA, AZ 85381-5202
Phone number: 623-334-4635
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Mailing Address
BOULES TAKLA rph
7530 W CACTUS RD
PEORIA, AZ 85381-5202
Phone number: 623-334-4635
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