Individual
MR. DONALD MONTI FAVRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
500 S 99TH AVE, BUILDING C, TOLLESON, AZ 85353-9700
(623) 907-4932
(623) 907-4990
Mailing address
500 S 99TH AVE, BUILDING C, TOLLESON, AZ 85353-9700
(623) 907-4932
(623) 907-4990
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S007728
AZ
Other
Enumeration date
09/19/2010
Last updated
09/19/2010
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