Individual
PROF. MARTHA PATRICIA FANKHAUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM. M.S.
Contact information
Practice address
721 N OLSEN AVE, TUCSON, AZ 85719-5138
(520) 405-6526
Mailing address
721 N OLSEN AVE, TUCSON, AZ 85719-5138
(520) 884-9091
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
7311
AZ
Other
Enumeration date
07/05/2005
Last updated
09/08/2011
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