NPI 1811328560

Afc of Queen Creek, PLLC

Organisation Non-Pharmacy Dispensing Site San Tan Valley, AZ

Practice location

Address: 85 W Combs Rd Suite 109, San Tan Valley, AZ 85140-9105
Phone: (480) 882-9105
Mailing address: 2980 N Beverly Glen Cir Suite 301, Los Angeles, CA 90077-1726

Authorised official

Name: Nathalie T. Alfonso
Title: Medical Director
Phone: (480) 882-9105

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X Licence AP4940 (AZ)

Other Non-Pharmacy Dispensing Site providers in Arizona →

Registry record

NPI: 1811328560
Entity type: Organization
NPI issued: 6 Dec 2013
Record last updated: 6 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.