Individual
DANIEL GEORGE DEMUMBRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4202 W CACTUS RD, PHOENIX, AZ 85029-2924
(602) 439-9045
(602) 439-3219
Mailing address
4202 W CACTUS RD, PHOENIX, AZ 85029-2924
(602) 439-9045
(602) 439-3219
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26012769A
IN
183500000X
Pharmacist
Primary
S006685
AZ
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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