Individual
AYA SHOURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1300 N 12TH ST STE 508, PHOENIX, AZ 85006-2849
(602) 839-3927
Mailing address
PO BOX 133114, SPRING, TX 77393-3114
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
S023952
AZ
Other
Enumeration date
07/15/2019
Last updated
06/11/2020
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