Individual
MINH TU LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2435 E BASELINE RD, PHOENIX, AZ 85042-7004
(602) 232-2982
Mailing address
2435 E BASELINE RD, PHOENIX, AZ 85042-7004
(602) 232-2982
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S019381
AZ
Other
Enumeration date
09/29/2012
Last updated
01/17/2014
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