Individual
AMY ELIZABETH BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
524 ALLEN STREET, TOMBSTONE, AZ 85638
(520) 457-3543
Mailing address
PO BOX 1279, TOMBSTONE, AZ 85638-1279
(520) 457-3543
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S014859
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S014859
PHARMACIST LICENSE
AZ
Enumeration date
09/05/2013
Last updated
09/05/2013
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