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Individual

BRYAN ANDRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
200 W HOSPITAL DR, # 860, WHITERIVER, AZ 85941
(928) 338-3503
Mailing address
200 W HOSPITAL DR, BOX 860, WHITERIVER, AZ 85941
(928) 338-3503

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051293644
IL

Other

Enumeration date
10/15/2009
Last updated
10/15/2009
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