Individual
MARY MEINHOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 MILLER VALLEY RD, PRESCOTT, AZ 86301-2314
(928) 442-0312
Mailing address
14015 N SPOTTED EAGLE DR, PRESCOTT, AZ 86305-4890
(928) 899-3560
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13052
AZ
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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