Individual
MARISOL IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4802 N 12TH ST APT 1086, PHOENIX, AZ 85014-4098
(915) 504-9507
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012
(915) 504-9507
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
28RI03759900
NJ
Other
Enumeration date
09/01/2016
Last updated
10/19/2016
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