Individual
NATHAN MUSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8009 W PARADISE DR, PEORIA, AZ 85345-5797
(623) 326-1999
Mailing address
8009 W PARADISE DR, PEORIA, AZ 85345-5797
(623) 326-1999
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S021494
AZ
Other
Enumeration date
09/20/2013
Last updated
08/28/2015
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