Individual
EVA AIDA CROCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1818 E BASELINE RD, TEMPE, AZ 85283-1502
(480) 831-2292
Mailing address
1818 E BASELINE RD, TEMPE, AZ 85283-1502
(480) 831-2292
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S014984
AZ
Other
Enumeration date
09/15/2012
Last updated
09/15/2012
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