Individual
BACH HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
702 W HOPI DR, HOLBROOK, AZ 86025-2852
(928) 524-2661
Mailing address
1206 EVENING CANYON AVE, HENDERSON, NV 89014-7813
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S021177
AZ
Other
Enumeration date
08/11/2017
Last updated
08/11/2017
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