Individual
DANIEL TAWIAH TETTEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
100 W RIVERSIDE DR, PARKER, AZ 85344-5205
(928) 669-8306
Mailing address
100 W RIVERSIDE DR, PARKER, AZ 85344-5205
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PHA.0022471
CO
183500000X
Pharmacist
Primary
S023619
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHA.0022471
BOARD OF PHARMACY
CO
01
—
S023619
BOARD OF PHARMACY
AZ
Enumeration date
10/23/2018
Last updated
10/23/2018
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