Individual
BREANNA BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
714 S VAL VISTA DR, GILBERT, AZ 85296-3140
(480) 654-9337
Mailing address
714 S VAL VISTA DR, GILBERT, AZ 85296-3140
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S026870
AZ
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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