Individual
DR. DANE BARTHULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
500 S 99TH AVE, TOLLESON, AZ 85353-9700
(800) 576-4377
Mailing address
500 S 99TH AVE, TOLLESON, AZ 85353-9700
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S024763
AZ
Other
Enumeration date
08/05/2020
Last updated
10/06/2020
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