Individual
DR. AMBROSE MARK FYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
103 MEDICINE WAY RD, PERIDOT, AZ 85542-5000
(928) 475-1400
Mailing address
103 MEDICINE WAY RD, PERIDOT, AZ 85542-5000
(928) 475-1400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S024612
AZ
Other
Enumeration date
08/07/2020
Last updated
08/27/2020
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