Individual
MRS. JACQUELINE VERA TAKACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
4212 NORTH 16TH STREET, PHOENIX, AZ 85016
(602) 263-1664
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1511
(602) 263-1619
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13655
AZ
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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