Individual
INDRAJITH JETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4230 W UNION HILLS DR, GLENDALE, AZ 85308-1704
(623) 869-7985
Mailing address
4230 W UNION HILLS DR, PHOENIX, AZ 85083
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S016466
AZ
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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