Healthcare Provider Details
I. General information
NPI: 1902106222
Provider Name (Legal Business Name): JOANNA KUHUSKI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/02/2010
Last Update Date: 02/08/2023
Certification Date: 02/07/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2225 S PRICE RD
CHANDLER AZ
85286-7201
US
IV. Provider business mailing address
2398 W WILLIAMS DR # 99
PHOENIX AZ
85027-1143
US
V. Phone/Fax
- Phone: 480-752-5600
- Fax:
- Phone: 602-430-4589
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | S013422 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: