Individual
MINA DIMIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1695 N ARIZONA BLVD, COOLIDGE, AZ 85128-9128
(520) 723-0950
(520) 723-8665
Mailing address
3021 E CHERRY HILLS PL, CHANDLER, AZ 85249-3923
(917) 421-0408
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S018316
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S018316
ARIZONA PHARMACIST LICENSE
AZ
Enumeration date
07/15/2014
Last updated
07/15/2014
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