Individual
NSUHORIDEM USEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 W RIVERSIDE DR, PARKER, AZ 85344-5205
(928) 669-2161
Mailing address
100 W RIVERSIDE DR, PARKER, AZ 85344-5205
(928) 669-2161
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S025526
AZ
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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