NPI 1023445541

Emmanuel Jagdon

Practitioner Pharmacist Tempe, AZ

Practice location

Address: 750 E Guadalupe Rd, Tempe, AZ 85283-2912
Phone: (480) 820-4478
Mailing address: 2108 W Wildhorse Dr, Chandler, AZ 85286-6141

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence S010992 (AZ)

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Registry record

NPI: 1023445541
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Sep 2013
Record last updated: 29 Sep 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.