Provider Demographics
NPI:1023164464
Name:KEKIC, ADRIJANA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ADRIJANA
Middle Name:
Last Name:KEKIC
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10374 W CASHMAN DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-2634
Mailing Address - Country:US
Mailing Address - Phone:623-261-6594
Mailing Address - Fax:602-863-0015
Practice Address - Street 1:10374 W CASHMAN DR
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-2634
Practice Address - Country:US
Practice Address - Phone:623-261-6594
Practice Address - Fax:602-863-0015
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ14339183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist