State of Arizona

NPI #1578752762 in Phoenix, Arizona

Provider Information

NPI Number
1578752762
Entity Type
Organization
Organization Name
State of Arizona
Primary Specialty
Pharmacy - Institutional Pharmacy
Enumeration Date
Oct 24, 2007
Last Updated
Apr 12, 2016

Practice Location

Address
24601 N 29TH AVE
State
Arizona
ZIP Code
85083-1165
Phone
(623) 780-1303

Authorized Official

Name
RONALD WILLIAMS
Title
MEDICAL DIRECTOR
Phone
(602) 520-1663

Specialties & Taxonomy Codes

Specialty
Pharmacy - Institutional PharmacyInstitutional Pharmacy

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