Individual
DR. EDMUND ANTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
22624 N 30TH AVE, PHOENIX, AZ 85027-1004
(480) 773-0569
Mailing address
22624 N 30TH AVE, PHOENIX, AZ 85027-1004
(480) 773-0569
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S023632
AZ
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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