Individual
FREDERICK ANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1810 E BLACKLIDGE DR, #309, TUCSON, AZ 85719-2772
(224) 805-9778
Mailing address
1810 E BLACKLIDGE DR, #309, TUCSON, AZ 85719-2772
(224) 805-9778
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S018774
AZ
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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