Individual
AJNA NASIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21001 N TATUM BLVD STE 76, PHOENIX, AZ 85050-4239
(480) 342-8231
Mailing address
4306 E EARLL DR, PHOENIX, AZ 85018-7222
(602) 410-4244
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S026202
AZ
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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