Individual
DR. HENRY LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
16750 W BELL RD, SURPRISE, AZ 85374-9539
(623) 546-8246
Mailing address
15143 W HIGHLAND AVE, GOODYEAR, AZ 85395-6363
(206) 351-1130
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S015061
AZ
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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