Organization
CVS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOULES ZAGHLOL TAKLA (PHARMACIST)
(617) 686-3072
Entity
Organization
Contact information
Practice address
15010 N 59TH AVE APT 251, GLENDALE, AZ 85306-3255
(617) 686-3072
Mailing address
15010 N 59TH AVE APT 251, GLENDALE, AZ 85306-3255
(617) 686-3072
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S017305
AZ
Other
Enumeration date
08/10/2014
Last updated
08/10/2014
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