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Individual

MARTIN KALLOOKARAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7975 W PEORIA AVE, PEORIA, AZ 85345-5941
(623) 878-4307
Mailing address
25810 N 50TH GLN, PHOENIX, AZ 85083-1848
(623) 251-5115

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S017274
AZ

Other

Enumeration date
01/23/2014
Last updated
01/23/2014
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