Individual
MITCHELL PERETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
29140 N 70TH LN, PEORIA, AZ 85383-6631
(623) 572-8497
Mailing address
29140 N 70TH LN, PEORIA, AZ 85383-6631
(623) 572-8497
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11156
AZ
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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