Individual
DEBRA DIANE STALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
4430 E RAY RD, PHOENIX, AZ 85044-6092
(480) 785-1006
Mailing address
16832 S 12TH WAY, PHOENIX, AZ 85048-4755
(480) 283-0960
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11907
AZ
Other
Enumeration date
08/16/2014
Last updated
08/16/2014
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