Organization
FRYS FOOD AND DRUG STORES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY DAANE (DISTRICT MANAGER)
(602) 818-5260
Entity
Organization
Contact information
Practice address
1385 E FLORENCE BLVD, CASA GRANDE, AZ 85122-5318
(520) 836-0901
Mailing address
PO BOX 1043, TOLLESON, AZ 85353-1043
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S022323
AZ
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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