Individual
BOULES TAKLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
7530 W CACTUS RD, PEORIA, AZ 85381-5202
(623) 334-4635
(623) 334-4641
Mailing address
7530 W CACTUS RD, PEORIA, AZ 85381-5202
(623) 334-4635
(623) 334-4641
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S107305
AZ
Other
Enumeration date
07/31/2017
Last updated
07/21/2022
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