Individual
ALEX M NEGRUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
280 N AVONDALE BLVD, AVONDALE, AZ 85323-6902
(623) 882-2021
Mailing address
20475 N 89TH DR, PEORIA, AZ 85382-6460
(602) 481-4721
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
S022798
AZ
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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