Individual
JOSE CUESTAS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
865 N ARIZOLA RD, CASA GRANDE, AZ 85222-6011
(520) 836-3446
(520) 836-8807
Mailing address
PO BOX 10097, CASA GRANDE, AZ 85230-0097
(520) 836-3446
(520) 836-8807
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6720
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6720
LICENSE
AZ
Enumeration date
11/28/2006
Last updated
07/08/2007
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