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Individual

STANLEY KUPATA MWENDAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1209 S 1ST AVE, PHOENIX, AZ 85003-2605
(602) 282-8006
Mailing address
5525 E THOMAS RD UNIT D3, PHOENIX, AZ 85018-8158
(480) 290-6632

Taxonomy

Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
S016062
AZ

Other

Enumeration date
10/22/2020
Last updated
10/22/2020
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