Individual provider · NPI-1

Etukeren Etukeren

Pharmacist · Litchfield Park, AZ

NPI number1831594704
StatusActive
Last updated in NPPESNov 4, 2014

Details

NPI
1831594704
Entity type
Individual (NPI-1)
Name
Etukeren Etukeren
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 4, 2014
Last updated
Nov 4, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistS021016AZYes

Practice location

13014 W Camelback Rd
Litchfield Park, AZ 85340-9401

Phone 623-935-0528 · Fax 623-935-0549

Mailing address

13014 W Camelback Rd
Litchfield Park, AZ 85340-9401

Phone 623-935-0528 · Fax 623-935-0549

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