Individual
IOSEF REPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4430 E RAY RD, PHOENIX, AZ 85044-6092
(480) 785-1006
Mailing address
4430 E RAY RD, PHOENIX, AZ 85044-6092
(480) 785-1006
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S021465
AZ
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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