Individual
MARYANN MIRZAKANDOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18615 N 34TH AVE UNIT 2, PHOENIX, AZ 85027-4867
(602) 515-6880
Mailing address
18615 N 34TH AVE UNIT 2, PHOENIX, AZ 85027-4867
(602) 515-6880
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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