Individual
KELSIE RAECHAL YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 757-0618
Mailing address
3140 N MELODY ST, KINGMAN, AZ 86401-4318
(314) 657-6803
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
2012026474
MO
183500000X
Pharmacist
Primary
S025743
AZ
Other
Enumeration date
11/05/2012
Last updated
10/18/2023
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