Individual
KAILEE MARIKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4910 N US HIGHWAY 89, FLAGSTAFF, AZ 86004-2846
(928) 526-6116
Mailing address
2245 S ROCKING HORSE LN, FLAGSTAFF, AZ 86001-7213
(602) 885-6669
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
70784
TX
183500000X
Pharmacist
Primary
S026397
AZ
183700000X
Pharmacy Technician
38324
TX
Other
Enumeration date
06/22/2022
Last updated
05/22/2023
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