Individual
JUSTIN RYAN TUAZON ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3809 E WATKINS ST, PHOENIX, AZ 85034-7264
(855) 745-5725
Mailing address
13310 N PLAZA DEL RIO BLVD UNIT 3155, PEORIA, AZ 85381-0022
(323) 982-5288
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S027282
AZ
Other
Enumeration date
10/17/2024
Last updated
12/17/2024
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