Individual
MR. HENRY MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
4518 E MONTE CRISTO AVE, PHOENIX, AZ 85032-4236
(602) 923-1436
Mailing address
4518 E MONTE CRISTO AVE, PHOENIX, AZ 85032-4236
(602) 923-1436
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
28RI01569000
NJ
183500000X
Pharmacist
Primary
S017576
AZ
Other
Enumeration date
11/16/2009
Last updated
11/16/2009
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