Individual
JACQUELINE AYN CAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
810 E GLENDALE AVE, PHOENIX, AZ 85020-5332
(602) 331-0440
Mailing address
810 E GLENDALE AVE, PHOENIX, AZ 85020-5332
(602) 331-0440
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S014907
AZ
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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