Individual
MRS. MANALE MAKSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15252 N 54TH AVE, GLENDALE, AZ 85306-3412
(480) 385-8830
Mailing address
15252 N 54TH AVE, GLENDALE, AZ 85306-3412
(480) 385-8830
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14942
AZ
Other
Enumeration date
09/24/2006
Last updated
07/08/2007
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