Individual
CHARLENE C MAYAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-6293
Mailing address
5404 E CORTLAND BLVD, APT 234, FLAGSTAFF, AZ 86004-2516
(703) 568-1873
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202210203
VA
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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