Individual
DR. JOHN PETER RUKAVENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9221 E BASELINE RD, A109255, MESA, AZ 85209-8310
(315) 542-2121
Mailing address
9221 E BASELINE RD, A109255, MESA, AZ 85209-8310
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S015479
AZ
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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