Individual
DR. ELISA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
5301 E GRANT RD, TUCSON, AZ 85712-2805
(520) 324-5122
Mailing address
5301 E GRANT RD, TUCSON, AZ 85712-2805
(520) 324-5122
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S018167
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S018167
ARIZONA STATE BOARD OF PHARMACY
—
Enumeration date
06/17/2011
Last updated
09/01/2017
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