Individual
MR. EDWARD ALEXANDER MOLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH, PHARM-D
Contact information
Practice address
20255 N 59TH AVE, GLENDALE, AZ 85308-6815
(623) 572-7192
Mailing address
20255 N 59TH AVE, GLENDALE, AZ 85308-6815
(623) 572-7192
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S012391
AZ
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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