Individual
JAY HARIVADAN CHADDERWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
21655 N LAKE PLEASANT PKWY, PEORIA, AZ 85382-7436
(623) 537-4591
Mailing address
21655 N LAKE PLEASANT PKWY, PEORIA, AZ 85382-7436
(623) 537-4591
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
058001
NY
183500000X
Pharmacist
Primary
S019910
AZ
Other
Enumeration date
08/06/2013
Last updated
07/02/2015
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