Individual
DANIEL ROBERT BOARDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
943 HUALAPAI WAY, PEACH SPRINGS, AZ 86434-0190
(928) 769-2992
(928) 769-1336
Mailing address
PO BOX 190, PEACH SPRINGS, AZ 86434-0190
(928) 769-2992
(928) 769-1336
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016350
AZ
Other
Enumeration date
06/27/2007
Last updated
11/06/2007
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