Individual
DR. JASON BOANCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4230 W UNION HILLS DR, GLENDALE, AZ 85308-1704
(623) 869-7985
Mailing address
7700 W ASPERA BLVD APT 2090, GLENDALE, AZ 85308-7927
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S025335
AZ
Other
Enumeration date
08/31/2021
Last updated
01/05/2025
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