Individual
BREDA DERVISEVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
9900 S RURAL RD, TEMPE, AZ 85284-4116
(480) 783-6233
Mailing address
9900 S RURAL RD, TEMPE, AZ 85284-4116
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S014341
AZ
Other
Enumeration date
01/03/2010
Last updated
01/03/2010
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