Individual
JENNY VAN DU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5125 W OLIVE AVE, GLENDALE, AZ 85302-4204
(623) 931-0882
Mailing address
5125 W OLIVE AVE, GLENDALE, AZ 85302-4204
(623) 931-0882
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15991
AZ
183500000X
Pharmacist
55553
CA
Other
Enumeration date
07/31/2007
Last updated
01/07/2021
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