Individual
JENNIFER STICCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1100 N ESTRELLA PKWY, GOODYEAR, AZ 85338-2808
(623) 925-9575
Mailing address
1100 N ESTRELLA PKWY, GOODYEAR, AZ 85338-2808
(623) 925-9575
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26023614A
IN
183500000X
Pharmacist
64937
CA
183500000X
Pharmacist
Primary
S019580
AZ
Other
Enumeration date
06/05/2014
Last updated
03/19/2024
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