Individual
JEFFREY MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
815 E CESAR CHAVEZ BLVD, SAN LUIS, AZ 85349
(928) 373-5757
Mailing address
7855 E 36TH LN, YUMA, AZ 85365-6376
(928) 581-7916
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S023329
AZ
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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