Individual
LOU MUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1245 W MAIN ST, MESA, AZ 85201-7018
(480) 833-8838
Mailing address
15234 N BAHIA DR, FOUNTAIN HILLS, AZ 85268-2616
(480) 837-7708
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S009599
AZ
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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