Individual
JEREMY JOHN MENNINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
13991 W GRAND AVE STE 105, SURPRISE, AZ 85374-3065
(623) 455-7815
Mailing address
13991 W GRAND AVE STE 105, SURPRISE, AZ 85374-3065
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S017361
AZ
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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