Individual
KRISTEN TAKARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
13731 W BELL RD, SURPRISE, AZ 85374-3871
(623) 975-4379
Mailing address
13731 W BELL RD, SURPRISE, AZ 85374-3871
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S024480
AZ
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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