Individual
ADASSA NISSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
19015 N 51ST DR, GLENDALE, AZ 85308-4915
(602) 388-0203
Mailing address
19015 N 51ST DR, GLENDALE, AZ 85308-4915
(602) 388-0203
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S027812
AZ
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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