Individual
MR. JEFFREY ALAN DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1920 W BROADWAY RD, MESA, AZ 85202-1127
(480) 833-0731
(480) 835-9167
Mailing address
2319 W LOBO AVE, MESA, AZ 85202-6445
(480) 766-2340
(480) 831-0611
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8434
AZ
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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