Individual
KEVIN CARLOS ISLAS LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3570 S VAL VISTA DR STE 108, GILBERT, AZ 85297-7327
(480) 887-0244
(480) 847-6868
Mailing address
2900 E NUNNELEY RD, GILBERT, AZ 85296-8601
(480) 567-8909
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S026673
AZ
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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