Individual
ANGELA NICOLE COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
5701 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 342-4200
Mailing address
21633 N 59TH WAY, PHOENIX, AZ 85054-5743
(480) 239-0143
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
3165618
AZ
1835P2201X
Ambulatory Care Pharmacist
Primary
6152790
AZ
Other
Enumeration date
05/17/2018
Last updated
06/21/2023
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