Individual
ANN ELISE MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
2195 E PROSPERITY AVE, TULARE, CA 93274-7754
(559) 631-1129
(559) 631-1139
Mailing address
2195 E PROSPERITY AVE, TULARE, CA 93274-7754
(559) 631-1129
(559) 631-1139
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
65258
CA
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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