Individual
FEI-SHU HU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 N 83RD AVE STE B, TOLLESON, AZ 85353-2324
(602) 308-3900
Mailing address
120 N 83RD AVE STE B, TOLLESON, AZ 85353-2324
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
S
AZ
183500000X
Pharmacist
Primary
S014849
AZ
Other
Enumeration date
11/07/2021
Last updated
05/27/2022
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