Individual
JULIANNE KOKOLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21632 N 35TH AVE, GLENDALE, AZ 85308-2061
(623) 582-9566
Mailing address
4700 N 16TH ST APT 338, PHOENIX, AZ 85016-4681
(716) 536-4981
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S025262
AZ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/09/2019
Last updated
07/30/2021
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