Individual
JYOTHI JAVVAJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
520 E BASELINE RD, PHOENIX, AZ 85041-6554
(602) 243-3014
Mailing address
520 E BASELINE RD, PHOENIX, AZ 85042-6554
(602) 243-3014
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S017744
AZ
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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