Individual
JENNIFER PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4375 E IRMA LN, PHOENIX, AZ 85050-4312
(480) 890-5800
Mailing address
4375 E IRMA LN, PHOENIX, AZ 85050-4312
(480) 890-5800
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S016712
AZ
Other
Enumeration date
10/07/2009
Last updated
10/30/2024
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