Individual
ALLYSON NOELLE KEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
637 W ROUTE 66, WILLIAMS, AZ 86046-2334
(928) 635-5977
Mailing address
637 W ROUTE 66, WILLIAMS, AZ 86046-2334
(928) 635-5977
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S023335
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S023335
PHARMACIST LICENSE NUMBER
AZ
Enumeration date
08/17/2018
Last updated
08/17/2018
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