Individual
DR. JONATHAN KEENE FAVRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
5760 N BARRASCA AVE, TUCSON, AZ 85750-1330
(520) 529-2714
(520) 577-6701
Mailing address
5760 N BARRASCA AVE, TUCSON, AZ 85750-1330
(520) 529-2714
(520) 577-6701
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
12253
AZ
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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