Individual
ILENE HUDDLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3911 E STATE ROUTE 69, PRESCOTT, AZ 86301-6717
(928) 541-2218
Mailing address
3911 E HIGHWAY 69, PRESCOTT, AZ 86301
(928) 541-2218
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S025309
AZ
Other
Enumeration date
08/26/2021
Last updated
12/14/2021
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