Dietrich, Michael A

Dietrich, Michael A is an sole proprietor health care provider with primary practice located at 28405 N 68Th Ave , Peoria AZ 85383-6652. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Dietrich, Michael A can be contacted via phone (623) 572-3538.

Contact Information

Primary practice address
28405 N 68Th Ave Peoria AZ 85383-6652
Fax: (623) 572-3550
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 12485 Arizona

Profile Details

NPI number 1760607683
LBN Legal business name Dietrich, Michael A
Credentials PHARM.D., BCPS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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