Organization
FRYS FOOD AND DRGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY DAANE RPH (PHARMACY DISTRICT COORDINATOR)
(602) 818-5260
Entity
Organization
Contact information
Practice address
1845 E BASELINE RD, GILBERT, AZ 85233-1545
(480) 539-3733
Mailing address
1845 E BASELINE RD, GILBERT, AZ 85233-1545
(480) 539-3733
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
009999
AZ
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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