Individual
DR. ERIC C THEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2625 W PERDIDO WAY, PHOENIX, AZ 85086-6600
(602) 803-7970
Mailing address
2625 W PERDIDO WAY, PHOENIX, AZ 85086-6600
(602) 803-7970
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11675
AZ
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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