Individual
DARRYL DWAYNE OHMART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6550 W HAPPY VALLEY RD, GLENDALE, AZ 85310-2614
(623) 566-6795
(623) 566-6795
Mailing address
26070 N 73RD DR, PEORIA, AZ 85383-7323
(602) 214-3707
(623) 566-6797
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S009134
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S009134
STATE BOARD OF PHARMACY
AZ
Enumeration date
01/23/2014
Last updated
01/23/2014
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