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Individual

ANTHONY ALLEN BRANHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2206 E CLARENDON AVE, PHOENIX, AZ 85016-6517
(803) 242-2990
Mailing address
2206 E CLARENDON AVE, PHOENIX, AZ 85016-6517
(803) 242-2990

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S024371
AZ

Other

Enumeration date
02/08/2021
Last updated
02/08/2021
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