Individual
JONATHAN WILLIAM PRENCIPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5101 W INDIAN SCHOOL RD, PHOENIX, AZ 85031-2602
(623) 247-1011
Mailing address
4111 N DRINKWATER BLVD APT B106, SCOTTSDALE, AZ 85251-3654
(814) 594-6886
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020110
AZ
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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