Individual
AMISA BHAKTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D.
Contact information
Practice address
6625 W HAPPY VALLEY RD, GLENDALE, AZ 85310-2617
(623) 561-5092
Mailing address
6625 W HAPPY VALLEY RD, GLENDALE, AZ 85310-2617
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S013009
AZ
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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