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Individual

DANIEL RYAN OTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D

Contact information

Practice address
6601 W INDIAN SCHOOL RD, PHOENIX, AZ 85033-3339
(623) 846-1533
Mailing address
5901 W BEHREND DR APT 1091, GLENDALE, AZ 85308-6939
(208) 403-2162

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
S026502
AZ

Other

Enumeration date
07/19/2023
Last updated
07/19/2023
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