Individual
HANNEKE ERASMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3130 W CAREFREE HWY, PHOENIX, AZ 85086-3200
(623) 582-2743
Mailing address
3130 W CAREFREE HWY, PHOENIX, AZ 85086-3200
(623) 582-2743
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S018217
AZ
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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