Edian Banuelos
Edian Banuelos is a Pharmacist in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2020.
- Licensed in
- AZ
- In the registry since
- 2020
Practice location Address checks out
2435 E Baseline RdPhoenix, AZ 85042-7004
Phone: (602) 232-2982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence S026904 (AZ) |
|---|
Record details
| NPI number | 1700402203 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 19, 2020 |
| Last updated in NPPES | December 24, 2024 |
| Certification date | December 24, 2024 |
| Mailing address | 2435 E Baseline Rd, Phoenix, AZ 85042-7004 |
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