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Individual

CHAD MCMINN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
8826 N 23RD AVE # C2, PHOENIX, AZ 85021-4154
(602) 216-1189
Mailing address
1817 N DOBSON RD APT 2109, CHANDLER, AZ 85224-8721
(480) 855-6895

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PHA0019542
CO
183500000X
Pharmacist
Primary
S019494
AZ

Other

Enumeration date
09/11/2014
Last updated
09/11/2014
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