Individual
JENNIE DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
18495 E QUEEN CREEK RD, QUEEN CREEK, AZ 85142-3597
(480) 279-0521
Mailing address
3086 E SANTA FE LN, GILBERT, AZ 85297-6027
(480) 290-0309
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S015442
AZ
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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