Individual
ERIC BONAGUIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3605 E THOMAS RD, PHOENIX, AZ 85018-7505
(602) 275-7507
Mailing address
3605 E THOMAS RD, PHOENIX, AZ 85018-7505
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
S011810
AZ
3336C0003X
Community/Retail Pharmacy
Primary
S011810
AZ
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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