Individual
DR. KENNETH EARL BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D., RPH
Contact information
Practice address
3256 W MOONDANCE WAY, TUCSON, AZ 85741-1249
(520) 742-6004
Mailing address
3256 W MOONDANCE WAY, TUCSON, AZ 85741-1249
(520) 742-6004
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
11006
AZ
Other
Enumeration date
09/24/2006
Last updated
07/08/2007
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