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Individual

MR. KENNETH JAMES BYKOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
5935 E KINGS AVE, SCOTTSDALE, AZ 85254-1318
(602) 326-3088
(602) 569-2787
Mailing address
5935 E KINGS AVE, SCOTTSDALE, AZ 85254-1318
(602) 326-3088
(602) 569-2787

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
051027819
IL
183500000X
Pharmacist
Primary
7975
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051027819
ILLINOIS DEPARTMENT OF PROFESSIONAL REGULATION - PHARMACIST
IL
01
7975
ARIZONA STATE BOARD OF PH
AZ
Enumeration date
03/07/2007
Last updated
12/31/2012
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