Individual
MANDY BA KITAMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
500 S 99TH AVE, TOLLESON, AZ 85353-9700
(623) 907-4932
Mailing address
2650 N WYATT DR, TUCSON, AZ 85712-6106
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S027200
AZ
Other
Enumeration date
11/09/2021
Last updated
01/29/2025
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