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Individual

KENECHUKWU ANAKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
19403 N R H JOHNSON BLVD, SUN CITY WEST, AZ 85375-4404
(623) 930-5050
Mailing address
19403 N R H JOHNSON BLVD, SUN CITY WEST, AZ 85375-4404
(623) 930-5050

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S022029
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
S022029
ARIZONA STATE BOARD OF PHARMACY
AZ
Enumeration date
08/26/2016
Last updated
08/26/2016
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