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Individual

DANIEL E BREITENFELDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD.

Contact information

Practice address
16545 E PALISADES BLVD, FOUNTAIN HILLS, AZ 85268-3707
(480) 836-8337
(480) 836-8354
Mailing address
17403 E TEJON DR, FOUNTAIN HILLS, AZ 85268-2608
(480) 268-6467

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
11052
NE
183500000X
Pharmacist
18653
IA
183500000X
Pharmacist
Primary
S017826
AZ

Other

Enumeration date
03/08/2007
Last updated
08/08/2016
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