Individual
DANIEL THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9950 E GUADALUPE RD, MESA, AZ 85212-2135
(480) 354-3758
Mailing address
4526 W LAREDO ST, CHANDLER, AZ 85226-6029
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S024954
AZ
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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