Individual
ANDREA STUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24865 N LAKE PLEASANT PKWY, PEORIA, AZ 85383-1280
(623) 566-1110
Mailing address
10851 W NOSEAN RD, PEORIA, AZ 85383-5772
(602) 740-6982
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S018207
AZ
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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