Individual
NATHAN SAMUEL VENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
8736 E BROADWAY BLVD, TUCSON, AZ 85710
(520) 546-1378
Mailing address
8736 E BROADWAY BLVD, TUCSON, AZ 85710-4016
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
WALGREENS
AZ
Enumeration date
06/07/2018
Last updated
06/07/2018
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