Anna De La Huerta
Pharmacist in Phoenix, AZ. Individual provider (NPI-1).
NPI number1124570569
StatusActive
Last updated in NPPESNov 2, 2016
Details
- NPI
- 1124570569
- Entity type
- Individual (NPI-1)
- Name
- Anna De La Huerta
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 2, 2016
- Last updated
- Nov 2, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | S011630 | AZ | Yes |
Practice location
500 W Thomas RdPhoenix, AZ 85013-4224
Phone 602-406-3970 · Fax 602-406-7145
Mailing address
500 W Thomas RdPhoenix, AZ 85013-4224
Phone 602-406-3970 · Fax 602-406-7145
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