Provider Demographics
NPI:1871328708
Name:DANDO, SAMANTHA ARIZA (RPH)
Entity type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:ARIZA
Last Name:DANDO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4120 N 45TH PL APT 10
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-4358
Mailing Address - Country:US
Mailing Address - Phone:520-331-5773
Mailing Address - Fax:
Practice Address - Street 1:14845 E SHEA BLVD
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILLS
Practice Address - State:AZ
Practice Address - Zip Code:85268-5937
Practice Address - Country:US
Practice Address - Phone:480-836-7311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-02
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS027170183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist