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Individual

MRS. KIMBERLY ANN COFFEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
75 LAKE HAVASU AVE N, LAKE HAVASU CITY, AZ 86403-5651
(928) 854-6300
(928) 854-6363
Mailing address
75 LAKE HAVASU AVE N, LAKE HAVASU CITY, AZ 86403-5651
(928) 854-6300
(928) 854-6363

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH00057859
WA
183500000X
Pharmacist
Primary
S019119
AZ

Other

Enumeration date
01/22/2008
Last updated
06/04/2014
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