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Individual

ANDY TAKAHATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
554 W BASELINE RD, MESA, AZ 85210-6019
(480) 969-6234
Mailing address
885 N ITHICA CT, CHANDLER, AZ 85225-3973
(808) 478-7154

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S023620
AZ

Other

Enumeration date
02/14/2022
Last updated
05/10/2026
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