Individual
EMMANUEL JAGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 E GUADALUPE RD, TEMPE, AZ 85283-2912
(480) 820-4478
Mailing address
2108 W WILDHORSE DR, CHANDLER, AZ 85286-6141
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S010992
AZ
Other
Enumeration date
09/29/2013
Last updated
09/29/2013
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