Individual
MIREYA TALAVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D.
Contact information
Practice address
9009 N 67TH AVE, GLENDALE, AZ 85302-3991
(623) 931-5169
Mailing address
9009 N 67TH AVE, GLENDALE, AZ 85302-3991
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S022271
AZ
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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