Individual
MR. AGIE GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
14551 W GRAND AVE, SURPRISE, AZ 85374-7100
(623) 546-4085
Mailing address
14551 W GRAND AVE, SURPRISE, AZ 85374-7100
(623) 546-4085
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S019053
AZ
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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