Individual
MR. JOSE DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
10707 W CAMELBACK RD, PHOENIX, AZ 85037-5073
(623) 872-5316
(623) 872-9696
Mailing address
5413 N 136TH AVE, LITCHFIELD PARK, AZ 85340-8346
(602) 758-8823
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13683
AZ
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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