Individual
MS. LISA BUCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
19811 N 68TH DR, GLENDALE, AZ 85308-5591
(623) 561-8329
Mailing address
19811 N 68TH DR, GLENDALE, AZ 85308-5591
(623) 561-8329
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14071
AZ
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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