Individual
JACE DURAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5324 E WASHINGTON ST, PHOENIX, AZ 85034-2144
(602) 732-3384
Mailing address
5324 E WASHINGTON ST, PHOENIX, AZ 85034-2144
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020782
AZ
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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