Healthcare Provider Details

I. General information

NPI: 1841026549
Provider Name (Legal Business Name): ANGEL SAENZ PHARMD.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2024
Last Update Date: 09/10/2024
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3450 W BELL RD
PHOENIX AZ
85053-2926
US

IV. Provider business mailing address

3450 W BELL RD
PHOENIX AZ
85053-2926
US

V. Phone/Fax

Practice location:
  • Phone: 602-789-9643
  • Fax:
Mailing address:
  • Phone: 602-789-9643
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS027201
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: