Individual
DANIEL TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
Mailing address
1626 W KESLER LN, CHANDLER, AZ 85224-5611
(480) 593-8653
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I012112
AZ
Other
Enumeration date
04/07/2018
Last updated
04/07/2018
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