Individual
BRANDON BOANCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
10707 W PEORIA AVE, SUN CITY, AZ 85351-4061
(623) 974-3603
Mailing address
21718 N 92ND LN, PEORIA, AZ 85382-8348
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S024138
AZ
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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