Individual
JANE DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 W RIO SALADO PKWY, TEMPE, AZ 85281-2695
(800) 413-7721
Mailing address
740 W ALLUVIAL AVE STE 101, FRESNO, CA 93711-5509
(800) 797-3543
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S013454
AZ
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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