Individual
MRS. KEYURA B PANDYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
5115 W BASELINE RD, LAVEEN, AZ 85339-3000
(602) 283-1603
Mailing address
5115 W BASELINE RD, LAVEEN, AZ 85339-3000
(602) 283-1603
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15121
AZ
183500000X
Pharmacist
RI02333800
NJ
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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