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Individual

DR. JUSTIN MICHAEL PRASNIKAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
5771 W THUNDERBIRD RD, GLENDALE, AZ 85306-4635
(602) 740-6420
Mailing address
PO BOX 10355, GLENDALE, AZ 85308
(602) 740-6420

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
SO14298
AZ

Other

Enumeration date
10/23/2009
Last updated
10/23/2009
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