MRS. Dianna Marie Faidley, R.PH., CDM

NPI #1689883530 in San Luis, Arizona

Provider Information

NPI Number: 1689883530
Entity Type: Individual
Name: MRS. Dianna Marie Faidley, R.PH., CDM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: R.PH., CDM
Enumeration Date: May 21, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 815 E. JUAN SANCHEZ BLVD.
City: San Luis
State: Arizona
ZIP Code: 85349
Phone: (928) 373-5757

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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