Individual
IDA KARGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4435 W ANTHEM WAY, ANTHEM, AZ 85086-0467
(623) 551-6327
Mailing address
4435 W ANTHEM WAY, ANTHEM, AZ 85086-0467
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S014797
AZ
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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