Individual
JEFFREY RYAN KOLB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3450 N GLASSFORD HILL RD, PRESCOTT VALLEY, AZ 86314-1351
(928) 499-3136
Mailing address
8236 E HERMOSA VISTA DR, MESA, AZ 85207-1322
(760) 331-9578
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S024766
AZ
Other
Enumeration date
08/06/2020
Last updated
11/16/2020
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