Individual
MRS. JACQUELYNN DALEEN CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
10425 N 47TH DR, GLENDALE, AZ 85302-1802
(623) 931-8917
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3735
SD
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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