Individual
MAYLINE TORRES-CERDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1695 N ARIZONA BLVD, COOLIDGE, AZ 85128-9128
(520) 723-0950
Mailing address
1695 N ARIZONA BLVD, COOLIDGE, AZ 85128-9128
(520) 723-0950
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020549
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S020549
PHARMACY LICENCE
AZ
Enumeration date
09/13/2015
Last updated
09/13/2015
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