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Individual

LOUIS S PERALTA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D

Contact information

Practice address
3632 S 14TH AVE, TUCSON, AZ 85713-6006
(520) 294-4683
Mailing address
605 W AJO WAY, TUCSON, AZ 85713-6047
(520) 294-4683

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S011588
AZ

Other

Enumeration date
09/23/2010
Last updated
09/23/2010
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