Individual
DONOVAN TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6644 E BAYWOOD AVE, MESA, AZ 85206-1747
(480) 321-4134
Mailing address
4900 W FLINT ST, CHANDLER, AZ 85226-2966
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S019333
AZ
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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