Individual
BRYAN SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2823 W VALENCIA RD, TUCSON, AZ 85746-8034
(520) 908-2563
(520) 908-2565
Mailing address
5502 W WHIPTAIL CT, MARANA, AZ 85658-4338
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13573
AZ
Other
Enumeration date
01/20/2014
Last updated
01/20/2014
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