Individual
MIODRAG MARIAN BUNEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5891 W EUGIE AVE, GLENDALE, AZ 85304-1252
(602) 588-6600
Mailing address
13648 W ACAPULCO LN, SURPRISE, AZ 85379-8301
(480) 200-4884
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S024163
AZ
Other
Enumeration date
08/14/2019
Last updated
07/29/2022
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