Individual
DIANA PERRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
18591 N 59TH AVE, GLENDALE, AZ 85308-1251
(602) 789-1166
Mailing address
18591 N 59TH AVE, GLENDALE, AZ 85308-1251
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S024862
AZ
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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