Renee Takehara

NPI #1306113287 in Flagstaff, Arizona

Provider Information

NPI Number
1306113287
Entity Type
Individual
Name
Renee Takehara
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Nov 21, 2011
Last Updated
Nov 21, 2011

Practice Location

Address
1650 S MILTON RD
Address 2
TARGET PHARMACY STORE 0935
State
Arizona
ZIP Code
86001-0802
Phone
(928) 779-2661

Specialties & Taxonomy Codes

Specialty
Pharmacist

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