Individual
JENA ALLRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST INTERN
Contact information
Practice address
19555 N 59TH AVE, GLENDALE, AZ 85308-6813
(623) 572-3215
Mailing address
16630 N 43RD AVE APT 185, GLENDALE, AZ 85306-1536
(435) 669-7963
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I024187
AZ
Other
Enumeration date
05/02/2020
Last updated
06/22/2020
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