Individual
KEDRA JANE BLUNCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
(602) 222-2603
Mailing address
4221 E RAY RD APT 1051, PHOENIX, AZ 85044-4693
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1129749
AZ
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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