Individual
DON Q LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
201 N SWITZER CANYON DR, FLAGSTAFF, AZ 86001-4836
(928) 774-3389
Mailing address
1008 N WREN DR, GILBERT, AZ 85234-7464
(480) 577-6650
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S022907
AZ
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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