Organization
EVR DIABETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA FERNANDA VAN ROOYEN PHARMACIST (PARTNER)
(480) 593-0293
Entity
Organization
Contact information
Practice address
15433 N TATUM BLVD, SUITE 103, PHOENIX, AZ 85032-4230
(480) 593-0293
Mailing address
15433 N TATUM BLVD, SUITE 103, PHOENIX, AZ 85032-4230
(602) 237-5324
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/20/2008
Last updated
08/07/2009
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