Individual
CAROL HOANG-DIEM AHNLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
17550 N 79TH AVE, GLENDALE, AZ 85308-8711
(623) 293-4402
Mailing address
17550 N 79TH AVE, GLENDALE, AZ 85308-8711
(623) 776-4002
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S019369
AZ
Other
Enumeration date
08/13/2012
Last updated
01/28/2019
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