Individual
CHAD FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
2000 S MILL AVE, TEMPE, AZ 85282-2128
(480) 921-8013
(480) 921-7219
Mailing address
2000 S MILL AVE, TEMPE, AZ 85282-2128
(480) 921-8013
(480) 921-7219
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S016119
AZ
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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