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Dr. Brian J Wambold, PharmD

Pharmacist in Phoenix, AZ. Individual provider (NPI-1).

NPI number1881908416
StatusActive
Last updated in NPPESAug 6, 2010

Details

NPI
1881908416
Entity type
Individual (NPI-1)
Name
Dr. Brian J Wambold
Credential
PharmD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 6, 2010
Last updated
Aug 6, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist13902AZYes

Practice location

4747 E Elliot Rd
Phoenix, AZ 85044-1627

Phone 480-496-0019

Mailing address

4747 E Elliot Rd
Phoenix, AZ 85044-1627

Phone 480-496-0019

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