Individual
DYLAN SUMNER ALTSTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9243 E BASELINE RD, MESA, AZ 85209-8308
(480) 986-4660
Mailing address
9243 E BASELINE RD, MESA, AZ 85209-8308
(480) 986-4660
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S024188
AZ
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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