Individual
LUIS AMPARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2601 E ROOSEVELT ST, INPATIENT PHARMACY, PHOENIX, AZ 85008-4973
(602) 344-5420
Mailing address
2601 E. ROOSEVELT STREET, INPATIENT PHARMACY, PHOENIX, AZ 85008-4973
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S015774
AZ
Other
Enumeration date
10/01/2016
Last updated
12/16/2016
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