Individual
JULIUS ASOFAR ANUMBOSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 MEDICINE WAY RD, PERIDOT, AZ 85542
(928) 475-1300
Mailing address
PO BOX 442, PERIDOT, AZ 85542-0442
(240) 520-2534
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0004888
DE
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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