Individual
DYLAN VUDUY LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
650 ELM ST, PAGE, AZ 86040
(928) 645-5714
Mailing address
650 ELM ST, PAGE, AZ 86040
(928) 645-5714
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
S019451
AZ
Other
Enumeration date
09/19/2012
Last updated
09/26/2012
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