Provider Demographics
NPI:1730845900
Name:MUNOZ, FELICIA R (PHARMD)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:R
Last Name:MUNOZ
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 1:7660 W FLYNN LN
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85303-2942
Mailing Address - Country:US
Mailing Address - Phone:602-616-7832
Mailing Address - Fax:
Practice Address - Street 1:4230 W MCDOWELL RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85009-2096
Practice Address - Country:US
Practice Address - Phone:602-415-5733
Practice Address - Fax:602-415-5727
Is Sole Proprietor?:No
Enumeration Date:2021-11-11
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS025567183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist