Individual
DOUGLAS URBANIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22723 N BARLOW CT, MARICOPA, AZ 85138-2382
(440) 463-1488
Mailing address
22723 N BARLOW CT, MARICOPA, AZ 85138-2382
(440) 463-1488
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18275
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18275
PHARMACIST LICENSE
AZ
Enumeration date
05/23/2014
Last updated
05/23/2014
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