Individual
JADELIENE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2727 W AGUA FRIA FWY, PHOENIX, AZ 85027-3929
(623) 869-7730
Mailing address
2225 W JOAN DE ARC AVE, PHOENIX, AZ 85029-1562
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S027740
AZ
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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