Pedro Diaz
Pharmacist in Phoenix, AZ. Individual provider (NPI-1).
NPI number1003220765
StatusActive
Last updated in NPPESJun 19, 2014
Details
- NPI
- 1003220765
- Entity type
- Individual (NPI-1)
- Name
- Pedro Diaz
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 19, 2014
- Last updated
- Jun 19, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | S019980 | AZ | Yes |
Practice location
6002 N 7th StPhoenix, AZ 85014-1801
Phone 602-728-0437
Mailing address
6902 S Hohokam PlGold Canyon, AZ 85118-3409
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