Individual
DANIELLE L DEBAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
500 S 99TH AVE BLDG A, TOLLESON, AZ 85353-9700
(520) 744-2777
Mailing address
500 S 99TH AVE BLDG A, TOLLESON, AZ 85353-9700
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S018063
AZ
Other
Enumeration date
09/19/2010
Last updated
09/19/2010
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