Individual
KISHEN RATHOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2930 N 67TH AVE, PHOENIX, AZ 85033-5610
(623) 849-6991
Mailing address
14375 MULBERRY DR, WHITTIER, CA 90604-1210
(562) 293-8752
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S026690
AZ
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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