Individual
JITEN SIDHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-2300
(602) 839-4226
Mailing address
9215 W DREYFUS DR, PEORIA, AZ 85381-8219
(707) 704-6959
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020833
AZ
Other
Enumeration date
08/19/2014
Last updated
10/03/2016
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