Individual
DR. BIANCA YAEL ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S025436
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S025436
ARIZONA STATE BOARD OF PHARMACY
AZ
Enumeration date
09/17/2021
Last updated
10/20/2021
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