Individual
OSSY SUTJITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1616 E THOMAS RD, PHOENIX, AZ 85016-7602
(022) 638-3076
Mailing address
7701 W SAINT JOHN RD APT 2078, GLENDALE, AZ 85308-8632
(951) 231-8202
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S024907
AZ
Other
Enumeration date
12/05/2020
Last updated
04/18/2023
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