Individual
DR. MANUEL MAKSUMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5421 W THUNDERBIRD RD, GLENDALE, AZ 85306-4751
(602) 547-9645
Mailing address
16224 N 7TH LN, PHOENIX, AZ 85023-3599
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S022055
AZ
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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