Individual
DANIEL M FENWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
6825 W GALVESTON ST STE 3, CHANDLER, AZ 85226-2517
(480) 718-0774
Mailing address
5103 E KELTON LN, SCOTTSDALE, AZ 85254-1059
(602) 618-0155
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S010238
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S010238
AZ PHARMACIST LICENSE
AZ
Enumeration date
02/13/2023
Last updated
02/13/2023
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